Eosinophilic gastroenteritis (EGE) as a rare inflammatory gastrointestinal (GI) disorder is primarily characterized by long-term or recurrent abdominal pain. Peripheral eosinophilia is usually caused by eosinophilic infiltrations into the multiple layers of the GI tract. In this report, a case of EGE with an acute abdomen is presented. A 14-year-old female experienced severe abdominal pain and hypereosinophilia. She underwent appendectomy due to severe abdominal pain approximately one week before readmission. Because of the persistence of pain, the upper GI endoscopy and biopsy were performed and the result of the pathological examination was eosinophilic gastroenteritis. Due to the nonspecificity of EGE symptoms, it is recommended that clinicians study pathology in atypical and nonresponsive GI diseases; biopsy should be performed as well.

Leptospirosis is a zoonosis that common in warm and tropical regions with global spread and it is an occupational disease. The aim of recent study was to evaluate the clinical and Para clinical findings of leptospirosis patients in Babol, northern of Iran. In this cross-sectional study, 118 patients with high suspicion to leptospirosis admitted to hospitals of Babol University of Medical Sciences, Babol, Iran, during 2009 -2011. Thirty one cases with positive finding (IFA) were enrolled as definitive Patients. Clinical and Para clinical data for all patients were recorded. The mean age of the confirmed patients (male: 71%, rural: 90.5%) was 48.5 years (range 18-80 years old). The commonest chief complaints were fever (71%) and ichter (19%) and among the clinical features of them fever (90.5%), gastro intestinal signs (80.5%), ichter (71%) and headache(68%) was the most prevalent ones. Weil's syndrome occurred in 10 (32%) patients. Thrombocytopenia and leukocytosis were noticed in 80.5% and 42% of the patients respectively. Transaminases in 80.5% of cases were above the normal upper limit. Based on current study, the most of leptospirosis patients were farmers and presented in hot seasons. The commonest clinical and laboratory pattern of this disease in our region was fever, ichter, myalgia and headache in conjunction with Mild elevations in levels of transaminases and thrombocytopenia that can be used as a good marker in early clinical diagnosis and treatment.

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Infective endocarditis (IE) is a serious infection among endovascular infections. Fungal endocarditis, especially caused by Candida albicans, is very rare, and its diagnosis is often difficult due to the negative results of blood culture and the presence of nonspecific symptoms. In this study, a patient who developed endocarditis on a normal valve due to infection with Candida albicans is presented.