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Clinical demonstration of patient with inflammatory bowel disease
https://doi.org/10.33667/2078-5631-2023-28-23-28
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.
About the Authors
Yu. P. Uspensky
Saint Petersburg State Pediatric Medical University; First Saint Petersburg State Medical University n. a. academician I. P. Pavlov
Russian Federation
Russian Federation
Uspensky Yuri. P., DM Sci (habil.), professor, head of Dept of Faculty Therapy n. a. professor V. A. Waldman, Saint Petersburg State Pediatric Medical University; professor at Dept of Internal Diseases of Faculty of Dentistry, First Saint Petersburg State Medical University n. a. academician I. P. Pavlov
Saint Petersburg
Yu. A. Fominykh
Saint Petersburg State Pediatric Medical University; Saint Petersburg State Pediatric Medical University; First Saint Petersburg State Medical University n. a. academician I. P. Pavlov
Russian Federation
Russian Federation
Fominykh Yuliya A., DM Sci (habil.), professor at Dept of Faculty Therapy n. a. professor V. A. Waldman, Saint Petersburg State Pediatric Medical University; Saint Petersburg State Pediatric Medical University; associate professor at Dept of Internal Diseases of Faculty of Dentistry, First Saint Petersburg State Medical University n. a. academician I. P. Pavlov
Saint Petersburg
O. A. Kizimova
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Kizimova Olga A., assistant at Dept of Faculty Therapy n. a. professor V. A. Waldman
Saint Petersburg
O. S. Minina
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Minina Oksana S., student of Pediatric Faculty
Saint Petersburg
A. P. Zavitaeva
Saint Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Zavitaeva Anna P., student of Pediatric Faculty
Saint Petersburg
References
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Review
For citations:
Uspensky Yu.P., Fominykh Yu.A., Kizimova O.A., Minina O.S., Zavitaeva A.P. Clinical demonstration of patient with inflammatory bowel disease. Medical alphabet. 2023;(28):23-28. (In Russ.) https://doi.org/10.33667/2078-5631-2023-28-23-28
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