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Eosinophilic pneumonia with eosinophilic gastroenteritis
T Miyazono1, M Kawabata, I Higashimoto
1Third Department of Internal Medicine Faculty of Medicine, Kagoshima University.
Internal Medicine (Tokyo, Japan)
|July 9, 1999
Summary
A rare case of eosinophilic pneumonia and gastroenteritis was diagnosed in a 48-year-old man presenting with respiratory and swallowing symptoms. This condition, characterized by eosinophil infiltration in the lungs and GI tract, is infrequently documented.
Area of Science:
- Pulmonology
- Gastroenterology
- Pathology
Background:
- Presents a rare case of concurrent eosinophilic pneumonia and eosinophilic gastroenteritis.
- Highlights the diagnostic challenges of overlapping respiratory and gastrointestinal symptoms.
Observation:
- A 48-year-old male with asthma and nasal polyp history presented with cough, fever, and dysphagia.
- Imaging revealed lung atelectasis, infiltrates, and esophageal wall thickening.
- Transbronchial lung biopsy (TBLB) and gastrointestinal biopsies showed eosinophilic infiltration.
Findings:
- Definite diagnosis of eosinophilic pneumonia associated with eosinophilic gastroenteritis.
- Eosinophil and lymphocyte infiltration noted under bronchial mucosa.
- Submucosal eosinophil infiltration confirmed in the gastrointestinal tract.
Implications:
- Underscores the importance of considering rare eosinophilic disorders in complex cases.
- Suggests potential systemic involvement of eosinophilic inflammation.
- Contributes to the limited literature on this dual-organ eosinophilic condition.