N Engl J Med. 2011 Feb 3;364(5):e8
Authors: Chen N, Shih SL
A 40-year-old woman presented to the hospital with crampy abdominal pain, nausea, vomiting, watery diarrhea, and leukocytosis (12,900 white cells per microliter). She was admitted with a presumptive diagnosis of infectious colitis and was treated with a 14-day course of ciprofloxacin, with a moderate response. Nine days after discharge, the patient returned to the emergency department with abdominal pain, vomiting, diarrhea, and hypotension. A contrast-enhanced computed tomographic scan of the abdomen showed marked bowel-wall thickening (Panel A, arrows) throughout the sigmoid colon and descending colon. Colonoscopy (Panel B) revealed multiple discrete, yellowish, polypoid lesions and a friable, hyperemic mucosa. Histopathological . . .
PMID: 21288092 [PubMed - in process]