| Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides： A case report |
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| 引用本文： | Kaji K,Yoshiji H,Yoshikawa M,Yamazaki M,Ikenaka Y,Noguchi R,Sawai M,Ishikawa M,Mashitani T,Kitade M,Kawaratani H,Uemura M,Yamao J,Fujimoto M,Mitoro A,Toyohara M,Yoshida M,Fukui H. Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides： A case report[J]. World journal of gastroenterology : WJG, 2007, 13(27): 3760-3762. DOI: 10.3748/wjg.v13.i27.3760 |
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| 作者姓名： | Kaji K Yoshiji H Yoshikawa M Yamazaki M Ikenaka Y Noguchi R Sawai M Ishikawa M Mashitani T Kitade M Kawaratani H Uemura M Yamao J Fujimoto M Mitoro A Toyohara M Yoshida M Fukui H |
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| 作者单位： | Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Department of Parasitology Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan,Third Department of Internal Medicine Nara Medical University Nara Japan |
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| 摘 要： | 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 rares. 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.
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| 关 键 词： | 胆囊炎 蛔虫 寄生物 嗜曙红细胞过多 心包炎 |
| 收稿时间： | 2007-03-16 |
Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides: a case report |
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| Kaji Kosuke,Yoshiji Hitoshi,Yoshikawa Masahide,Yamazaki Masaharu,Ikenaka Yasuhide,Noguchi Ryuichi,Sawai Masayoshi,Ishikawa Masatoshi,Mashitani Tsuyoshi,Kitade Mitsuteru,Kawaratani Hideto,Uemura Masahito,Yamao Junichi,Fujimoto Masao,Mitoro Akira,Toyohara Masahisa,Yoshida Motoyuki,Fukui Hiroshi. Eosinophilic cholecystitis along with pericarditis caused by Ascaris lumbricoides: a case report[J]. World journal of gastroenterology : WJG, 2007, 13(27): 3760-3762. DOI: 10.3748/wjg.v13.i27.3760 |
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| Authors: | Kaji Kosuke Yoshiji Hitoshi Yoshikawa Masahide Yamazaki Masaharu Ikenaka Yasuhide Noguchi Ryuichi Sawai Masayoshi Ishikawa Masatoshi Mashitani Tsuyoshi Kitade Mitsuteru Kawaratani Hideto Uemura Masahito Yamao Junichi Fujimoto Masao Mitoro Akira Toyohara Masahisa Yoshida Motoyuki Fukui Hiroshi |
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| Affiliation: | 1. Third Department of Internal Medicine,Nara Medical University, Nara, Japan
2. Department of Parasitology, Nara Medical University, Nara, Japan |
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| Abstract: | 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 rares. 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. |
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| Keywords: | Cholecystitis Pericardititis Ascaris Parasite Eosinophilia Albendazole |
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