Subject(s)
Anemia, Megaloblastic/chemically induced , Metformin/adverse effects , Aged , Aged, 80 and over , Female , HumansSubject(s)
Esophageal Diseases/complications , Polychondritis, Relapsing/complications , Aged , Humans , MaleSubject(s)
Heparin, Low-Molecular-Weight/therapeutic use , Hypoaldosteronism/drug therapy , Adult , Aged , Aldosterone/blood , Female , Humans , Hypoaldosteronism/blood , Male , Middle AgedABSTRACT
We report two cases of hypereosinophilic syndrome with predominant gastrointestinal signs, which could have been mistaken for eosinophilic gastroenteritis. In the first case, the patient presented with eosinophilic ascites; documentation of pulmonary involvement allowed to easily establish the diagnosis. In the second case, the patient presented with diarrhea and malabsorption; gastrointestinal and pancreatic involvement seemed isolated. Cases reported as eosinophilic gastroenteritis in the literature with polyvisceral involvement raise the possibility of hypereosinophilic syndrome. We suggest that diffuse eosinophilic gastroenteritis could in fact be an isolated manifestation of the idiopathic hypereosinophilic syndrome.
Subject(s)
Eosinophilia/diagnosis , Gastroenteritis/diagnosis , Gastrointestinal Diseases/complications , Adult , Eosinophilia/complications , Female , Gastroenteritis/complications , Humans , Male , Middle Aged , SyndromeABSTRACT
We report the case of a 80-old-year woman with cryptococcal meningitis and cirrhosis. The diagnosis of this rare infectious complication is probably underestimated in patients with cirrhosis. Of diagnostic value is the detection of cryptococcal antigen in cerebral fluid. Fluconazole could improve an otherwise poor prognostic.