Churg-Strauss syndrome complicated by colon erosion, acalculous cholecystitis and liver abscesses.
2005; National Institutes of Health; Volume: 11; Issue: 33 Linguagem: Inglês
10.3748/wjg.v11.i33.5248
AutoresMsahiro Suzuki, Kazuo Nabeshima, Mitsukazu Miyazaki, Hitoshi Yoshimura, Shinsei Tagawa, Katsuya Shiraki,
Tópico(s)Infectious Diseases and Tuberculosis
ResumoWe report on a case of Churg-Strauss syndrome (CSS) with colon erosion, cholecystitis and liver abscesses. A 21-year-old woman with a history of bronchial asthma for 3 years was admitted with a complaint of abdominal pain. Laboratory findings included remarkable leukocytosis and eosinophilia, and a colonoscopy revealed erosion from the rectum to the ileocecal region. In addition, a colonic biopsy specimen showed necrotizing vasculitis and marked eosinophilic infiltration. On the basis of the clinical features and histopathological findings, she was diagnosed with CSS and subsequently treated with oral prednisolone, after which the eosinophilia and abdominal pain disappeared. However, on the 15th d in hospital she developed cholecystitis and liver abscesses. She was therefore treated with antibiotics and as a result went into clinical remission.
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