Eosinophilic Oophoritis: Association With Positive Strongyloides stercoralis Serology and Clinical Response to Ivermectin

Localized eosinophilic infiltration causing ovarian dysfunction is an unusual clinical problem. We report a 16-year-old girl with abdominal pain, ovarian cysts, and biopsy-proven eosinophilic oophoritis, which resulted in right oophorectomy. Subsequently, a large cyst developed in the left ovary, ca...

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Veröffentlicht in:Journal of pediatric & adolescent gynecology 2006-10, Vol.19 (5), p.329-332
Hauptverfasser: Butterfield, Joseph H., Kephart, Gail M., Frankson, J.L.
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container_title Journal of pediatric & adolescent gynecology
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creator Butterfield, Joseph H.
Kephart, Gail M.
Frankson, J.L.
description Localized eosinophilic infiltration causing ovarian dysfunction is an unusual clinical problem. We report a 16-year-old girl with abdominal pain, ovarian cysts, and biopsy-proven eosinophilic oophoritis, which resulted in right oophorectomy. Subsequently, a large cyst developed in the left ovary, causing abdominal pain that was worse at the time of her menses, and biopsy again showed numerous eosinophilic microabscesses. Unexpectedly, a parasite serology test to Strongyloides stercoralis was positive, although stool tests for ova and parasites were negative and the total IgE and total eosinophil count were normal. After treatment with ivermectin, the patient's abdominal pain resolved, the serologic antibody titers to S stercoralis returned to normal, and subsequent ultrasonographic evaluations showed involution of the large cyst in the remaining ovary. Eosinophilic oophoritis is a new disorder of localized tissue eosinophilia.
doi_str_mv 10.1016/j.jpag.2006.06.001
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subjects Adolescent
Animals
Antiparasitic Agents - therapeutic use
Eosinophilia - blood
Eosinophilia - parasitology
Eosinophilic
Female
Humans
Ivermectin - therapeutic use
Oophoritis
Oophoritis - blood
Oophoritis - drug therapy
Oophoritis - parasitology
Serologic Tests
Strongyloides stercoralis - immunology
Strongyloides stercoralis - isolation & purification
Strongyloidiasis - blood
Strongyloidiasis - complications
Strongyloidiasis - drug therapy
Treatment Outcome
title Eosinophilic Oophoritis: Association With Positive Strongyloides stercoralis Serology and Clinical Response to Ivermectin
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