{"id":142,"date":"2017-03-01T15:51:03","date_gmt":"2017-03-01T15:51:03","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/fg\/?p=142"},"modified":"2017-03-02T10:08:51","modified_gmt":"2017-03-02T10:08:51","slug":"142","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/fg\/2017\/03\/01\/142\/","title":{"rendered":"A simple IBD flare?"},"content":{"rendered":"<p><a href=\"https:\/\/stg-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:\/\/stg-blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2-300x225.png\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/stg-blogs.bmj.com\/fg\/files\/2017\/03\/CMV-Figure-1-2-300x225.png 300w, https:\/\/stg-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:\/\/stg-blogs.bmj.com\/fg\/2017\/03\/01\/142\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-142","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/posts\/142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/comments?post=142"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/posts\/142\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/media?parent=142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/categories?post=142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/fg\/wp-json\/wp\/v2\/tags?post=142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}