Eosinophilic gastroenteritis in an immunosuppressed patient: a case report

Authors

  • Clement J. Dhas Department of General Medicine, PSG Institute of Medical sciences and Research, Peelamedu, Coimbatore, Tamil Nadu, India
  • Murali A. Department of General Medicine, PSG Institute of Medical sciences and Research, Peelamedu, Coimbatore, Tamil Nadu, India
  • Yoganathan C. Department of General Medicine, PSG Institute of Medical sciences and Research, Peelamedu, Coimbatore, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20183152

Keywords:

Chronic diarrhea, Eosinophilic gastroenteritis

Abstract

Eosinophilic gastroenteritis is a rare disease that is characterized by Eosinophil infiltration in one or multiple segments of the gastrointestinal tract. The etiology of this condition remains unknown. Eosinophilic gastroenteritis has heterogeneous clinical manifestations that depend upon the location and depth of infiltration in the gastrointestinal tract, and eosinophilia may or may not be present. This article reports a case of Eosinophilic Gastroenteritis in a 57 years old retroviral male patient, who presented with chronic diarrhea, bilateral pedal edema and eosinophilia. Ultimately, the diagnosis of eosinophilic gastroenteritis was clinched.  The rare character of eosinophilic gastroenteritis and its varied clinical presentations often lead to delayed diagnosis and complications. Case reports may help to disseminate knowledge about the disease, thereby increasing the likelihood of early diagnosis and intervention to prevent complications.

Metrics

Metrics Loading ...

References

Rothenberg ME. Eosinophilic gastrointestinal disorders (EGID). J Allergy Clin Immunol. 2004;113:11-28.

Guajardo JR, Plotnick LM, Fende JM, Collins MH, Putnam PE, Rothenberg ME. Eosinophil-associated gastrointestinal disorders: a worldwide- web based registry. J Pediatr. 2002;141:576-81.

Klein NC, Hargrove RL, Sleisenger MH, Jeffries GH. Eosinophilic gastroenteritis. Medicine (Baltimore). 1970;49:299-319.

Daneshjoo RJ, Talley N. Eosinophilic gastroenteritis. Curr Gastroenterol Rep. 2002;4:366-72.

Khan S, Orenstein SR. Eosinophilic gastroenteritis. Gastroenterol Clin North Am. 2008;37:333-48.

Chen MJ, Chu CH, Lin SC, Shih SC, Wang TE. Eosinophilic gastroenteritis: clinical experience with 15 patients. World J Gastroenterol. 2003;9:2813-6.

Khan S. Eosinophilic gastroenteritis. Best Pract Res Clin Gastroenterol. 2005;19:177-98.

Furuta GT, Forbes D, Boey C, Dupont C, Putnam P, Roy SK, et al. EGIDs Working Group. Eosinophilic Gastrointestinal Diseases (EGIDs). J Ped Gastroenterol Nutr. 2008;47:234-8.

Baig MA, Qadi A, Rasheed JA. Review of Eosinophilic Gastroenteritis. J National Med Assoc. 2006;98:1616-9.

Straumann A. Idiopathic eosinophilic gastrointestinal diseases in adults. Best Pract Res Clinical Gastroenterol. 2008;22(3):481-96.

Okpara N, Aswad B, Baffy G. Eosinophilic colitis. World J Gastroenterol. 2009;15:2975-9.

Talley NJ, Shorter RG, Phillips SF, Zinsmeister AR. Eosinophilic gastroenteritis: a clinicopathological study of patients with disease of the mucosa, muscle layer and subserosal tissues. Gut 1990;31:54-8.

Solans R, Bosch JA, Perez-Bocanegra C, Selva A, Huguet P, Alijotas J, et al. Churg-Strauss syndrome: outcome and longterm follow up of 32 patients. Rheumatology (Oxford). 2001;40:763-71.

DeSchryver-Kecskemeti K, Clouse RE. A previously unrecognized subgroup of ‘eosinophilic gastroenteritis’. Association with connective tissue diseases. Am J Surg Pathol. 1984;8:171-80.

Muller MJ, Sewell GS. Coexistence of eosinophilic gastroenteritis and Helicobacter pylori gastritis: causality versus coincidence. Dig Dis Sci. 2001;46:1784-6.

Macedo T, MacCarty RL. Eosinophilic ileocolitis secondary to Enterobius vermicularis: case report. Abdom Imaging. 2000;25:530-2.

Scudamore HH, Phillips SF, Swedlund HA, Gleich GJ. Food allergy manifested by eosinophilia, elevated immunoglobulin E level, and protein-losing enteropathy: the syndrome of allergic gastroenteropathy. J Allergy Clinical Immunol. 1982 Aug 1;70(2):129-38.

Downloads

Published

2018-07-23

How to Cite

Dhas, C. J., A., M., & C., Y. (2018). Eosinophilic gastroenteritis in an immunosuppressed patient: a case report. International Journal of Advances in Medicine, 5(4), 1078–1080. https://doi.org/10.18203/2349-3933.ijam20183152

Issue

Section

Case Reports