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Eosinophilic enteritis--a recent north Queensland experience.

T J Croese1

  • 1Townsville General Hospital, Queensland.

Australian and New Zealand Journal of Medicine
|December 1, 1988
PubMed
Summary

Eosinophilic enteritis in North Queensland may indicate parasitic infection. Prompt recovery followed antihelminthic treatment, suggesting conservative therapy before surgery.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Parasitology

Background:

  • Eosinophilic enteritis is an uncommon condition affecting the small intestine.
  • Investigated in Townsville, Australia, between 1983-1987, 33 patients presented with eosinophilic enteritis.

Observation:

  • Patients experienced abdominal pain, small bowel obstruction, diarrhea, or melena.
  • All developed elevated peripheral blood eosinophil counts (mean 2096/mm3).
  • Intestinal biopsies showed transmural inflammation with eosinophilic infiltrate; a hookworm was found in one case.

Findings:

  • Nineteen patients treated with antihelminthic drugs showed prompt recovery.
  • Recovery correlated with normalization of peripheral blood eosinophil counts.
  • A parasitic infection was identified as the likely cause of eosinophilic enteritis.

Implications:

  • Consider parasitic infection in North Queensland patients with abdominal pain and eosinophilia.
  • Delay laparotomy and trial conservative therapy with mebendazole for suspected cases.
  • This study highlights an unusual presentation of parasitic-induced eosinophilic enteritis.

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