PMC4736596_01
Chest CT scan done during the first admission showing bilateral patchy asymmetric interstitial lung disease suspicious of allergic alveolitis or eosinophilic pneumonitis.
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fig1
CT chest was done and showed bilateral patchy interstitial infiltrates suspicious of allergic pneumonitis (Figure 1).
Duodenal bulb showing edematous nodular mucosa with erythematous spot.
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fig2
Upper endoscopy showed severe edematous bulboduodenitis with areas of erosions and whitish villi (Figures 2 and 3) and lower endoscopy showed multiple patchy erythematous lesions separated by areas of normal mucosa that appeared all over the colon, predominantly in the cecum, and in the ileum (Figures 4 and 5).
Second duodenum showing edematous mucosa with erosions and white villi.
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fig3
Upper endoscopy showed severe edematous bulboduodenitis with areas of erosions and whitish villi (Figures 2 and 3) and lower endoscopy showed multiple patchy erythematous lesions separated by areas of normal mucosa that appeared all over the colon, predominantly in the cecum, and in the ileum (Figures 4 and 5).
Cecal base showing patchy erythematous and petechial mucosa predominantly over the Ileocecal valve.
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fig4
Upper endoscopy showed severe edematous bulboduodenitis with areas of erosions and whitish villi (Figures 2 and 3) and lower endoscopy showed multiple patchy erythematous lesions separated by areas of normal mucosa that appeared all over the colon, predominantly in the cecum, and in the ileum (Figures 4 and 5).
Terminal Ileum showing patchy erythematous lesions.
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fig5
Upper endoscopy showed severe edematous bulboduodenitis with areas of erosions and whitish villi (Figures 2 and 3) and lower endoscopy showed multiple patchy erythematous lesions separated by areas of normal mucosa that appeared all over the colon, predominantly in the cecum, and in the ileum (Figures 4 and 5).
Duodenal biopsy showing preserved villi with dystrophic glands, multiple ulcerations, and eosinophilic infiltration. Parasitic larvae are also seen either superficial or encrusted into the mucosa compatible with strongyloidiasis.
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fig6
Duodenal biopsy showed severe erosive duodenitis with eosinophilic infiltration and strongyloides larvae (Figures 6(a) and 6(b)).