Eosinophilic gastrointestinal diseases with overall gastrointestinal tract causing liver abscess in an older patient: a case report and literature review

BMC Geriatr. 2024 Nov 15;24(1):945. doi: 10.1186/s12877-024-05541-w.

Abstract

Background: Eosinophilic gastrointestinal diseases are the rare gastrointestinal disorders. To our knowledge, there have been no reports of eosinophilic gastrointestinal diseases with overall gastrointestinal tract involvement causing liver abscess in an older patient.

Case presentation: We report a 68-year-old man with eosinophilic gastrointestinal disease with overall gastrointestinal tract involvement. He was admitted with suspected acute gastroenteritis, and histological examination showed eosinophilic infiltration accompanied by liver abscess. The collected pus was tested for Metagenomics Next-Generation Sequencing and confirmed the presence of Klebsiella pneumoniae.

Conclusions: We conducted a literature review on the complications of eosinophilic gastrointestinal diseases and discussed how eosinophilic gastrointestinal diseases lead to liver abscess caused by Klebsiella pneumoniae.

Keywords: Eosinophilic gastrointestinal diseases; Klebsiella pneumoniae; Liver abscess; Older patient.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Enteritis* / complications
  • Enteritis* / diagnosis
  • Enteritis* / microbiology
  • Eosinophilia* / complications
  • Eosinophilia* / diagnosis
  • Gastritis / complications
  • Gastritis / diagnosis
  • Gastritis / microbiology
  • Gastrointestinal Diseases / complications
  • Gastrointestinal Diseases / diagnosis
  • Humans
  • Klebsiella Infections* / complications
  • Klebsiella Infections* / diagnosis
  • Klebsiella pneumoniae* / isolation & purification
  • Liver Abscess* / complications
  • Liver Abscess* / diagnosis
  • Male

Supplementary concepts

  • Eosinophilic enteropathy