Idiopathic hypereosinophilic syndrome complicated by computed tomography-negative cerebral infarction, strangulated intestinal obstruction, and hepatic portal venous gas: a case report of multi-system involvement.

ABSTRACT:

Background

Idiopathic hypereosinophilic syndrome (HES) is a rare disorder characterized by persistent eosinophilia, which can lead to multi-organ dysfunction. Despite its highly heterogeneous clinical manifestations, cardiac and neurological complications are the most significant contributors to patient disability and mortality.

Case description

We report the case of a 66-year-old man who was emergently admitted to the hospital with the chief complaint of "sudden unsteady walking accompanied by deviation of the corner of the mouth for 15 hours". Laboratory tests revealed a significantly elevated eosinophil percentage (47.4%, count: 6.76×10⁹/L). Initial diagnostic evaluation, including head computed tomography (CT) combined with CT angiography and CT perfusion, sho

SUBMITTER: Wei H 

PROVIDER: S-EPMC12591735 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature