Crain Matthew A, Kupec Justin T
West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Section of Gastroenterology and Hepatology, West Virginia University Medicine, Morgantown, West Virginia, USA.
Case Rep Gastroenterol. 2021 May 27;15(2):475-477. doi: 10.1159/000513976. eCollection 2021 May-Aug.
The differential diagnosis for an acute Crohn's flare should include enteric infection, a challenging yet critical distinction to make when determining appropriate therapy. Since both present similarly, identification of an enteric infection should be performed with comprehensive stool microbial testing. In the setting of moderate-to-severe disease, patients on biologic therapy may be more prone to infectious complications. We present a patient with chronic Crohn's disease with an unusual, previously undetected enteric infection due to Once identified, appropriate antibiotic treatment led to resolution of the patient's acute symptomatology. This is the first reported case of infection in Crohn's disease.
急性克罗恩病发作的鉴别诊断应包括肠道感染，这在确定适当治疗方法时是一项具有挑战性但又至关重要的区分。由于两者表现相似，应通过全面的粪便微生物检测来确定是否存在肠道感染。在中重度疾病的情况下，接受生物治疗的患者可能更容易出现感染并发症。我们报告了一名患有慢性克罗恩病的患者，该患者因[此处原文缺失相关内容]而感染了一种不寻常的、先前未被检测到的肠道感染。一旦确诊，适当的抗生素治疗使患者的急性症状得到缓解。这是克罗恩病中首次报道的[此处原文缺失相关内容]感染病例。
