Clinical demonstration of patient with inflammatory bowel disease

Abstract

A 27-year-old patient was transferred by an infectious disease doctor to the St. Petersburg Elizabethan Hospital with a long history of diarrhea and intoxication syndrome. A detailed examination revealed an infection with Clostridium difficile, which contributed to the progression of the disease, deterioration of well-being and, as a result, an increase in neuroticism. The clinical and endoscopic picture indicated ulcerative colitis. When reviewing the biopsy material, noncaseating epithelioid cell granulomas were found, which confirmed the diagnosis of Crohn's disease. This case demonstrates the complexity of the differential diagnosis of inflammatory bowel diseases, which determines the tactics of patient management.