[Intestinal lymphoid nodular hyperplasia in a patient with acquired dysgammaglobulinemia, chronic diarrhea, and bacterial overgrowth syndrome].
The association between intestinal nodular lymphoid hyperplasia (INLH) and acquired dysgammaglobulinemia was first described by Hermans et al in 1966. One of the largest series reported in the literature is mexican. We described the clinical out come of a young man with diarrhea, steatorrhea and history of upper respiratory tract infections in whom INLH was established by clinical, radiological, endoscopic and histopathologic studies. Jejunal fluid showed infection by E. coli, C. freundii and Candida albicans as well as cysts of Giardia lamblia. Serum concentration of Ig A and Ig M were decreased. As well as B lymphocytes count in peripheral blood. The patient received treatment with itraconazole, ciprofloxacin and furazolidone with an excellent response. At present he is asymptomatic with cyclic doses of antibiotics and parenteral administration of gammaglobulins.
Castañeda-Romero
B
B
Departamento de Gastroenterología, Instituto Nacional de la Nutrición Salvador Zubirán, México, DF.
Díaz-Caldelas
L
L
Galván-Guerra
E
E
Sixtos
S
S
Arista
J
J
Uscanga
L
L
D000328:Adult; D002908:Chronic Disease; D003967:Diarrhea / Q000150:complications*; D004406:Dysgammaglobulinemia / Q000150:complications*; D006801:Humans; D006965:Hyperplasia / Q000150:complications; D007421:Intestine, Small / Q000382:microbiology / Q000473:pathology*; D008221:Lymphoid Tissue / Q000473:pathology; D008297:Male; D013577:Syndrome
Hiperplasia nodular linfoide intestinal en un paciente con disgamaglobulinemia adquirida, diarrea crónica y síndrome de sobrepoblación bacteriana.