Praziquantel Treatment of Eosinophilic Gastritis Suspected to Be Due to Cerebral Sparganosis.
10.3904/kjm.2018.93.5.473
- Author:
Sang Hoon LEE
1
;
Seung Joo NAM
;
Sung Joon LEE
;
Chang Don KANG
;
Dae Hee CHOI
;
Jang Won CHOI
;
SeungKoo LEE
Author Information
1. Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea. pinetrees@daum.net
- Publication Type:Case Report
- Keywords:
Eosinophilic gastritis;
Parasite;
Sparganosis;
Praziquantel
- MeSH:
Abdominal Pain;
Aged;
Biopsy;
Brain;
Cerebrospinal Fluid;
Diarrhea;
Eosinophils*;
Gastritis*;
Gastrointestinal Tract;
Humans;
Magnetic Resonance Imaging;
Nausea;
Parasites;
Praziquantel*;
Sparganosis*;
Vomiting
- From:Korean Journal of Medicine
2018;93(5):473-476
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic gastritis is characterized by eosinophilic infiltration of the gastrointestinal tract, which is associated with abdominal pain, diarrhea, nausea, and vomiting. The possible etiologies of secondary eosinophilic gastritis, including drug reactions, parasitic infestation, and malignancy, must be evaluated. Herein we report the case of a 65-year-old North Korean defector who presented with nausea and vomiting for 1 year. Secondary (reactive) eosinophilic gastritis caused by cerebral sparganosis was suspected after a workup that included brain magnetic resonance imaging, cerebrospinal fluid tapping, and gastric mucosal biopsy. The patient showed dramatic clinical improvement with high-dose praziquantel treatment. Even though secondary (reactive) eosinophilic gastritis caused by parasites is very rare, this case shows the importance of considering parasitic infection in eosinophilic gastritis.
