Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 64-68.
위막성 대장염을 동반한 호산구성 위장관염 1예
김태균ㆍ박종하ㆍ서은희ㆍ주희린ㆍ박승하ㆍ김태오ㆍ양성연ㆍ문영수
인제대학교 의과대학 해운대백병원 내과학교실
Esosinophilic Gastroenteritis with Clostridium difficile-associated Colitis: A Case Report
Tae Gyoon Kim, M.D., Jongha Park, M.D., Eun Hee Seo, M.D., Hee Rin Joo, M.D., Seung Ha Park, M.D., Tae Oh Kim, M.D., Sung Yeon Yang, M.D. and Young Soo Moon, M.D.
Department of Internal Medicine, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Korea
Abstract
Eosinophilic gastroenteritis is an uncommon disease characterized by eosinophilic infiltration in the bowel wall and presents various symptoms depending on the affected site and bowel layer. Pseudomembranous colitis is an antibiotic-associated infection caused by abnormal overgrowth of the toxin-producing Clostridium difficile in the large bowel. A 16-year-old boy was admitted with abdominal pain for 6 days. On admission, we performed an endoscopy and diagnosed gastroduodenitis. Then, we prescribed gastritis medication but he still presented with diffuse abdominal pain and fever above 38.0oC after admission. We considered infectious enterocolitis, so we prescribed an antibiotic. The next day, he presented with bloody diarrhea. A diagnosis of pseudomembranous colitis was confirmed by a colonoscopic examination with a biopsy. We also obtained a diagnosis of eosinophilic gastroenteritis through a histological diagnosis. This is the first case of the simultaneous occurrence of eosinophilic gastroenteritis and pseudomembranous colitis in the Korean medical literature. We report this case with a brief review of the literature. (Korean J Gastrointest Endosc 2011;43:64-68)
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