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Dr. Patrick S. Yachimski (Gastroenterology): A 30-year-old Moroccan man was admitted to this hospital because of fever, abdominal pain, and bloody diarrhea.
The patient had a history of inflammatory bowel disease but was in his usual state of health until 14 days before admission, when his temperature rose to 39.4°C and a nonproductive cough, rhinorrhea, and myalgia developed. He took acetaminophen as needed for fever. After approximately 5 days, his symptoms resolved except for intermittent fever. Six days before admission, he began having cramping lower abdominal pain and bloody diarrhea three to four times per day. The pain was not
Differential Diagnosis
Relative Bradycardia
Other Causes of Infectious Colitis
Recurrence of Inflammatory Bowel Disease
Infections Exacerbating Inflammatory Bowel Disease
CMV Infection
Summary
Clinical Diagnosis
Dr. Mark Babyatsky's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Departments of Medicine, Mount Sinai Medical Center and Mount Sinai School of Medicine, New York (M.W.B.); the Departments of Gastroenterology (M.D.K.), Radiology (M.A.B.), Medicine (E.S.R.), and Pathology (E.S.R., M.M.-K.), Massachusetts General Hospital, Boston; and the Departments of Radiology (M.A.B.), Medicine (M.D.K., E.S.R.), and Pathology (E.S.R., M.M.-K.), Harvard Medical School, Boston.
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