|
KMID : 0882420180930050473
|
|
Korean Journal of Medicine
2018 Volume.93 No. 5 p.473 ~ p.476
|
|
|
Praziquantel Treatment of Eosinophilic Gastritis Suspected to Be Due to Cerebral Sparganosis
|
|
Lee Sang-Hoon
Nam Seung-Joo
Lee Sung-Joon
Kang Chang-Don
Choi Dae-Hee
Choi Jang-Won
Lee Seung-Koo
|
|
|
Abstract
|
|
|
|
Eosinophilic gastritis is characterized by eosinophilic infiltration of the gastrointestinal tract, which is associated with abdominal pain, diarrhea, nausea, and vomiting. The possible etiologies of secondary eosinophilic gastritis, including drug reactions, parasitic infestation, and malignancy, must be evaluated. Herein we report the case of a 65-year-old North Korean defector who presented with nausea and vomiting for 1 year. Secondary (reactive) eosinophilic gastritis caused by cerebral sparganosis was suspected after a workup that included brain magnetic resonance imaging, cerebrospinal fluid tapping, and gastric mucosal biopsy. The patient showed dramatic clinical improvement with high-dose praziquantel treatment. Even though secondary (reactive) eosinophilic gastritis caused by parasites is very rare, this case shows the importance of considering parasitic infection in eosinophilic gastritis.
|
|
|
KEYWORD
|
|
|
Eosinophilic gastritis, Parasite, Sparganosis, Praziquantel
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|