title: Churg-Strauss syndrome complicated by colon erosion, acalculous cholecystitis and liver abscesses.
abstract: We 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.
authors.affiliation: Internal Medicine, Mie Prefectural Shima Hospital, Japan.
authors.forename: Msahiro
authors.initials: M
authors.lastname: Suzuki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Nabeshima
authors.forename: Mitsukazu
authors.initials: M
authors.lastname: Miyazaki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yoshimura
authors.forename: Shinsei
authors.initials: S
authors.lastname: Tagawa
authors.forename: Katsuya
authors.initials: K
authors.lastname: Shiraki
mesh_terms: D000328:Adult; D002764:Cholecystitis / Q000209:etiology*; D015267:Churg-Strauss Syndrome / Q000150:complications*; D003108:Colonic Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000209:etiology*