Open AccessEosinophilic cholecystitis along with pericarditis caused byAscaris lumbricoides: A case report
Author(s) -
Kosuke Kaji,
Hitoshi Yoshiji,
Masahide Yoshikawa,
Masaharu Yamazaki,
Yasuhide Ikenaka,
Ryuichi Noguchi,
Masayoshi Sawai,
Masatoshi Ishikawa,
Tsuyoshi Mashitani,
Mitsuteru Kitade,
Hideto Kawaratani,
Mamoru Uemura,
Junichi Yamao,
Masao Fujimoto,
Akira Mitoro,
Masahisa Toyohara,
Motoyuki Yoshida,
Hiroshi Fukui
Publication year - 2007
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v13.i27.3760
Subject(s) - medicine , eosinophilia , ascaris lumbricoides , hypereosinophilic syndrome , cholecystitis , eosinophilic , pericarditis , pericardial effusion , ascariasis , albendazole , pathology , gastroenterology , pleural effusion , dermatology , immunology , surgery , gallbladder , helminths
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.