{"id":142,"date":"2017-03-01T15:51:03","date_gmt":"2017-03-01T15:51:03","guid":{"rendered":"https:\/\/blogs.bmj.com\/fg\/?p=142"},"modified":"2018-09-10T11:39:38","modified_gmt":"2018-09-10T11:39:38","slug":"142","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/fg\/2017\/03\/01\/142\/","title":{"rendered":"A simple IBD flare?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-143\" src=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2-300x225.png\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2-300x225.png 300w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2.png 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>33 year old male with ulcerative colitis presents with a 5-day history of fever, night sweats, abdominal pain and increased stool frequency. Medications include mesalazine M\/R 1g once daily, 6-mercaptopurine 75mg once daily and a two week course of prednisolone 40mg once daily. Bloods revealed a leukopenia and c-reactive protein of 23. Based on the flexible sigmoidoscopy (figure) findings what is the most likely diagnosis? How would this change your management?<\/p>\n<p>Submitted by Matthew Armstrong,\u00a0Tom Thomas, Tariq Iqbal, Ralph Boulton and Jason Goh .<\/p>\n<p>Gastroenterology department, University Hospital Birmingham, Birmingham, UK.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>33 year old male with ulcerative colitis presents with a 5-day history of fever, night sweats, abdominal pain and increased stool frequency. Medications include mesalazine M\/R 1g once daily, 6-mercaptopurine 75mg once daily and a two week course of prednisolone 40mg once daily. Bloods revealed a leukopenia and c-reactive protein of 23. Based on the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/03\/01\/142\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":308,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10257,1],"tags":[],"class_list":["post-142","post","type-post","status-publish","format-standard","hentry","category-fgcaseofthemonth","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A simple IBD flare? - Frontline Gastroenterology Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/03\/01\/142\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A simple IBD flare? - Frontline Gastroenterology Blog\" \/>\n<meta property=\"og:description\" content=\"33 year old male with ulcerative colitis presents with a 5-day history of fever, night sweats, abdominal pain and increased stool frequency. Medications include mesalazine M\/R 1g once daily, 6-mercaptopurine 75mg once daily and a two week course of prednisolone 40mg once daily. Bloods revealed a leukopenia and c-reactive protein of 23. 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