An atypical case of eosinophilic gastroenteritis presenting as hypovolemic shock

Miguel Martillo, Jean Abed, Michael Herman, Elie Abed, Wenjing Shi, Khushboo Munot, Pavan Kumar Mankal, Rajan Gurunathan, Gabriel Ionescu, Donald P. Kotler

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Eosinophilic gastroenteritis is an uncommon condition characterized by focal or diffuse infiltration of eosinophils in the gastrointestinal tract in the absence of secondary causes. The pathogenesis of this condition is not well understood and its clinical presentation depends on the segment and layer of the gastrointestinal tract affected. The definition of eosinophilic gastroenteritis may be difficult, as the normal ranges of eosinophil numbers in normal and abnormal gastric and intestinal mucosa are not standardized. We present the case of a 59-year-old male who came to the hospital with hypovolemic shock and lethargy secondary to severe diarrhea. Laboratory analysis was significant for peripheral eosinophilia, and pathology from both the duodenum and colon showed marked eosinophilic infiltration.

Original languageEnglish
Pages (from-to)142-151
Number of pages10
JournalCase Reports in Gastroenterology
StatePublished - 1 May 2015


  • Acute renal failure
  • Diarrhea
  • Eosinophilic gastroenteritis
  • Hypovolemic shock


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