Abstract:
A 79-year-old man underwent operative drainage and 2-week cephalosporin treatment due to a maxillofacial space infection (bilateral submaxillaris, submentum, and left face). However, he experienced anorexia, nausea, vomiting, and emaciation in the following 2 months. It was initially considered that a malignancy might be present, thus a series of examinations were performed. Laboratory investigations showed increases in inflammatory markers and a significant eosinophilia, which seemed to be a hematological system disease. Combined with the gastrointestinal endoscopes and histology examination, the patient was diagnosed with eosinophilic gastroenteritis (EGE). After cessation of antibiotic treatment and administration of corticosteroid, our patient experienced a rapid progress in his clinical condition. Despite the low incidence, EGE should be considered in patients with unknown cause of gastrointestinal disorder, elevated eosinophilia, and so on.
摘要:
由于颌面部间隙感染,一名79岁的男子接受了手术引流和2周的头孢菌素治疗(双侧颌下,submentum,和左脸)。然而,他经历了厌食症,恶心,呕吐,在接下来的两个月里消瘦。最初认为可能存在恶性肿瘤,因此进行了一系列检查。实验室调查显示炎症标志物增加和显著的嗜酸性粒细胞增多,这似乎是一种血液系统疾病。结合胃肠内镜和组织学检查,患者被诊断为嗜酸性粒细胞性胃肠炎(EGE).停止抗生素治疗和皮质类固醇给药后,我们的病人经历了他的临床病情的快速进展。尽管发病率低,胃肠道疾病原因不明的患者应考虑EGE,嗜酸性粒细胞升高,等等。