Case Presentation: A 36 year old female, with known ileocolonic Crohn disease, status post total colectomy with end ileostomy, maintained on Infliximab and Azathioprine, presented with one day history of subjective fevers and fixed, non-progressive, abdominal wall rash. Two days prior to presentation she was started on Topiramate and Celecoxib for headaches and joint pain [...]