Neonatal Med.  2019 Nov;26(4):218-222. 10.5385/nm.2019.26.4.218.

A Rare Case of Eosinophilic Gastroenteritis in a Neonate with Fever

Affiliations
  • 1Department of Pediatrics, Inje University Haeundae Paik Hospital, Busan, Korea.
  • 2Department of Pediatrics, Soonchunhyang University Gumi Hospital, Gumi, Korea. myong47@hanmail.net

Abstract

Eosinophilic gastroenteritis is a member of eosinophilic gastrointestinal (GI) diseases and is characterized by the accumulation of eosinophils within the GI tract. Common symptoms of eosinophilic gastroenteritis are vomiting, abdominal pain, dysphagia, and weight loss, but rare fever in neonate. This report describes a 10-day-old boy who developed fever, bloody mucoid stool, and bilious vomiting resulting from eosinophilic gastroenteritis, mimicking sepsis. Sigmoidoscopy and pathologic findings revealed mucosal edema, small hemorrhagic spot, and segmental erythemoid edema in the colon and increased number of eosinophils in the lamina propria with intraepithelial eosinophils. After breast milk feeding with restriction of milk from the mother for 6 months, specific immunoglobulin to milk was class 0 (class 3, previous). The boy restarted formula feeding, and he had no fever and GI symptoms.

Keyword

Eosinophilic enteropathy; Fever; Infant, newborn

MeSH Terms

Abdominal Pain
Colon
Deglutition Disorders
Edema
Eosinophils*
Fever*
Gastroenteritis*
Gastrointestinal Tract
Humans
Immunoglobulins
Infant, Newborn*
Male
Milk
Milk, Human
Mothers
Mucous Membrane
Sepsis
Sigmoidoscopy
Vomiting
Weight Loss
Immunoglobulins
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