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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(01): 111-113
DOI: 10.4103/ijmpo.ijmpo_25_16
Case Report

Eosinophilic Liver Abcesses and Pyrexia of Unknown Origin in Idiopathic Hypereosinphilic Syndrome: Myeloproliferative or Mimic?

Chetana Sen
Department of Medicine, Medical College, Kolkata, West Bengal, India
,
Krishnarpan Chatterjee
Department of Medicine, ESI Medical College, Kolkata, West Bengal, India
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Abstract

We report a case which presented with pyrexia of unknown origin (PUO) with eosinophilia and multiple hypoechoic lesions in the liver resembling secondaries. After secondary causes were ruled out, aspiration of liver lesions revealed eosinophilic abcesses. A diagnosis of idiopathic hypereosinophilic syndrome (HES) was made and the patient responded to steroid therapy. HES remains a diagnosis of exclusion. HES presenting with PUO and liver abcesses is very rare. A high index of suspicion is required to recognize the involvement of different organ systems due to HES.

Keywords

Hypereosinophilic syndrome - liver abcess - pyrexia of unknown origin


Publication History

Article published online:
23 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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