Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired host immune responses. Studies on CDI in IBD patients have yielded variable and conflicting results on outcome measures such as [...]

Case Presentation: A 54-year-old male with past medical history of ulcerative colitis not on active treatment and DM type II presented to his primary care provider (PCP) with right ear pain and swelling which began a week prior. His PCP added oral clindamycin, Cortisporin otic drops, and later prednisone when his pain and swelling did [...]

Case Presentation: This is a case of a 37-year-old female with a 9 month history of moderate ulcerative pancolitis (UC) who was admitted with worsening abdominal pain, a 30 lb weight loss, nausea, vomiting, and bloody diarrhea. She had been treated with mesalamine, vedolizumab, and infliximab with no improvement and refused corticosteroid therapy due to [...]

Case Presentation: A 42 year old African American male with a recent diagnosis of Ulcerative Colitis (UC) presented with recurrent bloody diarrhea, abdominal pain, fevers, chills, weight loss and was admitted for management of a presumed UC flare. On a previous admission 2 months prior, he had been diagnosed with UC with a colonoscopy and [...]

Case Presentation: A 62 year-old Caucasian male, with a 10-year history of ulcerative colitis (UC), presented to ER with acute onset of throbbing frontal headache for 1 day with associated photophobia and severe right eye pain. He reported having nausea and several episodes of vomiting. He denied any vision changes, speech difficulty, focal weakness, rash, [...]

Case Presentation: A 59 y/o male who presented to the hospital with a 2 week history of subjective fevers, generalized fatigue, and non-bloody diarrhea. Past medical history was notable for indeterminate ulcerative colitis (UC) and was being managed with azathioprine and mesalamine. He was recently prescribed antibiotics and developed diarrhea shortly after. He denied any [...]

Case Presentation: A 55 year old male with history of ulcerative colitis and iron deficiency anemia presented to the emergency department with a 1 week history of progressive swelling, tenderness and erythema of a circumscribed area of his anterior chest. Similar lesions erupted over right 4th finger and right ankle 2 days prior to presentation. [...]

Case Presentation: A 40-year-old man with well controlled HIV and mild left-sided ulcerative colitis (UC) diagnosed 10 years earlier presented with several weeks of up to 10 watery stools per day with mild non-radiating crampy abdominal pain which improved after bowel movements. There was no hematochezia, tenesmus, weight loss, recent travel or sick contacts. His [...]

Case Presentation: A 56-year-old man with a history of ulcerative colitis (UC), treated with Adalimumab, returned from a 10-day cruise to Puerto Rico. He presented with 5-days of fever, chills, fatigue, anorexia and multiple loose stools daily. On presentation, he was ill-appearing, febrile (T = 102.8oF) and tachycardic (HR = 124 bpm). RR = 16 [...]

Case Presentation: A 48-year-old female with no significant past medical history was initially hospitalized for community-acquired pneumonia and subsequently developed hematemesis, melena along with fever and night sweats. Other presenting symptoms included productive cough, worsening dyspnea, and 80-pound unintentional weight loss in 3 months. She denied travel/occupation history. Further workup showed WBC 46.6×103/uL, Hemoglobin 8.3 [...]