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KMID : 0359020110430010064
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.43 No. 1 p.64 ~ p.68
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Esosinophilic Gastroenteritis with Clostridium difficile-associated Colitis: A Case Report
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Kim Tae-Gyoon
Park Jong-Ha
Seo Eun-Hee
Joo Hee-Rin
Park Seung-Ha
Kim Tae-Oh
Yang Sung-Yeon
Moon Young-Soo
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Abstract
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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.
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KEYWORD
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Eosinophilic gastroenteritis, PMC
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