A case of cow’s milk-induced eosinophilic enterocolitis masquerading as necrotizing enterocolitis in a preterm infant with extremely low birth weight
10.4168/aard.2022.10.4.215
- Author:
Sun-Young LEE
1
;
Myo-Jing KIM
;
Jin-A JUNG
;
Seo-Hee RHA
;
Chae-Ku JO
Author Information
1. Department of Pediatrics, Dong-A University, College of Medicine, Busan, Korea
- Publication Type:CASE REPORT
- From:Allergy, Asthma & Respiratory Disease
2022;10(4):215-218
- CountryRepublic of Korea
- Language:English
-
Abstract:
Food allergy is a rare form of feeding intolerance in preterm infants, with symptoms similar to necrotizing enterocolitis. We report a case of clinically diagnosed cow’s milk-induced eosinophilic enterocolitis in an infant with extremely low birth weight. The patient was born at 24 weeks and 1 day gestation, weighing 610 g, had repeated episodes of gastrointestinal symptoms after feeding, and was placed on nil per os. On day 67, the eosinophil count increased suddenly (7,852.8/mL), and the formula was changed to amino acid-based (Neocate). Gradually, the eosinophil count returned to normal. Ileostomy was performed and full enteral feeding was achieved with Neocate. Intraoperatively, the intestine was nonnecrotic and viable; the biopsy report showed massive mucosal eosinophilic infiltration. The patient was diagnosed with cow’s milk-induced eosinophilic enterocolitis.
