Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides: a case report.
Although the etiology of eosinophilic cholecystitis is still obscure, the postulated causes include allergies, parasites, hypereosinophilic syndrome, and eosinophilic gastroenteritis. It is sometimes accompanied by several complications, but a simultaneous onset with pericarditis is very rare. A 28-year-old woman complained of acute right hypocondrial pain and dyspnea associated with systemic eruption. Several imaging modalities revealed acute cholecystitis and pericarditis with massive pericardial effusion. A marked peripheral blood eosinophilia was observed, and the eruption was diagnosed as urticaria. Her serum had a high titer of antibody against Ascaris lumbricoides. Treatment with albendazole drastically improved all clinical manifestations along with normalization of the imaging features and eosinophilia. We report herein a rare case of simultaneous onset of acute cholecystitis and pericarditis associated with a marked eosinophilia caused by parasitic infection.
Third Department of Internal Medicine, Nara Medical University, Shijo-cho 840, Kashihara, Nara 634-8522, Japan.
Kosuke
K
Kaji
Hitoshi
H
Yoshiji
Masahide
M
Yoshikawa
Masaharu
M
Yamazaki
Yasuhide
Y
Ikenaka
Ryuichi
R
Noguchi
Masayoshi
M
Sawai
Masatoshi
M
Ishikawa
Tsuyoshi
T
Mashitani
Mitsuteru
M
Kitade
Hideto
H
Kawaratani
Masahito
M
Uemura
Junichi
J
Yamao
Masao
M
Fujimoto
Akira
A
Mitoro
Masahisa
M
Toyohara
Motoyuki
M
Yoshida
Hiroshi
H
Fukui
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001196:Ascariasis / Q000150:complications* / Q000469:parasitology / Q000473:pathology; D017164:Ascaris lumbricoides / Q000302:isolation & purification*; D049448:Cholangiopancreatography, Magnetic Resonance; D002764:Cholecystitis / Q000469:parasitology* / Q000473:pathology; D004802:Eosinophilia / Q000469:parasitology* / Q000473:pathology; D005260:Female; D006801:Humans; D010493:Pericarditis / Q000469:parasitology* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods
D000871:Anthelmintics; D015766:Albendazole