title: An Atypical Case of Eosinophilic Gastroenteritis Presenting as Hypovolemic Shock.
abstract: Eosinophilic gastroenteritis is an uncommon condition characterized by focal or diffuse infiltration of eosinophils in the gastrointestinal tract in the absence of secondary causes. The pathogenesis of this condition is not well understood and its clinical presentation depends on the segment and layer of the gastrointestinal tract affected. The definition of eosinophilic gastroenteritis may be difficult, as the normal ranges of eosinophil numbers in normal and abnormal gastric and intestinal mucosa are not standardized. We present the case of a 59-year-old male who came to the hospital with hypovolemic shock and lethargy secondary to severe diarrhea. Laboratory analysis was significant for peripheral eosinophilia, and pathology from both the duodenum and colon showed marked eosinophilic infiltration.
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Miguel
authors.initials: M
authors.lastname: Martillo
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Hospital Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Jean
authors.initials: J
authors.lastname: Abed
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Herman
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Elie
authors.initials: E
authors.lastname: Abed
authors.affiliation: Department of Pathology, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Wenjing
authors.initials: W
authors.lastname: Shi
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Gastroenterology, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Khushboo
authors.initials: K
authors.lastname: Munot
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Gastroenterology, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Pavan Kumar
authors.initials: PK
authors.lastname: Mankal
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Hospital Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Rajan
authors.initials: R
authors.lastname: Gurunathan
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Gastroenterology, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Ionescu
authors.affiliation: Department of Medicine, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA ; Division of Gastroenterology, Mount Sinai St. Luke's and Mount Sinai Roosevelt Hospitals, Icahn School of Medicine, New York, N.Y., USA.
authors.forename: Donald P
authors.initials: DP
authors.lastname: Kotler
keywords: Acute renal failure; Diarrhea; Eosinophilic gastroenteritis; Hypovolemic shock