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Severe Acute ulcerative Colitis Disease with Severe Celiac Disease Associated with Clostridium difficile Colitis Infection Complicated with Refeeding Syndrome, Challenging Case R

Article

Last updated: 24 Dec 2024

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Subjects

-

Tags

Gastroenterology

Abstract

Crohn's disease, ulcerative colitis, and celiac disease are disorders mediated by the immune system. The coincidence of celiac disease with inflammatory bowel disease is an infrequent occurrence, particularly in pediatric populations, though it is acknowledged in adult cases. This paper presents a unique case involving a 24-year-old male patient who experienced persistent vomiting, significant weight loss, and bloody diarrhea accompanied by abdominal pain and urgency. During his medical evaluation, we detected the presence of celiac antibodies, elevated inflammatory markers, and anemia. Endoscopic examination revealed pancolitis, pseudomembranous colitis, and atrophy of the duodenal villi. The patient concurrently had celiac disease, ulcerative colitis, Clostridium difficile colitis, and active Helicobacter pylori-associated chronic gastritis. Clostridium difficile colitis is a serious yet common complication in patients with IBD, necessitating simultaneous management of both disorders.  His dual autoimmune conditions deteriorated, necessitating immunosuppressive therapy. However, the initiation of immunosuppression led to refeeding syndrome, adding complexity to the management of his condition.

DOI

10.21608/aeji.2024.325997.1419

Keywords

Celiac disease, ulcerative colitis, Clostridium difficile, refeeding syndrome

Authors

First Name

Ahmed

Last Name

S Abdelmoaty

MiddleName

-

Affiliation

Department of Tropical Medicine, Faculty of Medicine, Ain Shams University, Abbassia, Cairo 11341, Egypt. Gastroenterology Consultant, Security Forces Hospital Dammam, KSA

Email

drahmedsamir333@gmail.com

City

-

Orcid

0000-0002-2646-9646

First Name

Olfa

Last Name

El Amine

MiddleName

-

Affiliation

Histopathology Consultant, Security Forces Hospital Dammam, KSA

Email

oelhadj@sfhd.med.sa

City

-

Orcid

-

First Name

Mohammed

Last Name

Galal Hossameldin

MiddleName

-

Affiliation

Radiology Consultant, Security Forces Hospital Dammam, KSA, Ms, EDIR, FRCR

Email

mhossameldin@sfhd.med.sa

City

-

Orcid

-

First Name

Lamiaa

Last Name

Elrefaey

MiddleName

-

Affiliation

RA at the American university in Cairo. department of global public health and human ecology.

Email

lamiaaelrefaey@aucegypt.edu

City

-

Orcid

0009-0003-6702-3450

First Name

Fatimah

Last Name

Al Theeb

MiddleName

-

Affiliation

Internal Medicine Resident Program, Security Forces Hospital Dammam, KSA

Email

faltheeb@sfhd.med.sa

City

-

Orcid

-

First Name

Amjad

Last Name

Naim Abu Soud

MiddleName

-

Affiliation

Gastroenterology Consultant, Security Forces Hospital Dammam, KSA

Email

asoud@sfhd.med.sa

City

-

Orcid

-

First Name

Mahmoud

Last Name

Hassan

MiddleName

-

Affiliation

Internal Medicine Specialist, Security Forces Hospital Dammam, KSA

Email

mhassan@sfhd.med.sa

City

-

Orcid

-

First Name

Mohammed

Last Name

Rashwan

MiddleName

-

Affiliation

Intensive Care Consultant, Security Forces Hospital Dammam, KSA

Email

mrashwan@sfhd.med.sa

City

-

Orcid

-

First Name

Ibrahim

Last Name

Khalid Abdulal

MiddleName

-

Affiliation

Intensive Care Consultant, Security Forces Hospital Dammam, KSA

Email

ibdulal@sfhd.med.sa

City

-

Orcid

-

First Name

Hussain

Last Name

Al Shahrani

MiddleName

-

Affiliation

Gastroenterology Consultant, Security Forces Hospital Dammam, KSA

Email

halshahrani@sfhd.med.sa

City

-

Orcid

-

Volume

14

Article Issue

4

Related Issue

51602

Issue Date

2024-12-01

Receive Date

2024-10-04

Publish Date

2024-12-01

Page Start

510

Page End

522

Print ISSN

2090-7613

Online ISSN

2090-7184

Article File

AEJI_Volume 14_Issue 4_Pages 510-522.pdf

PDF . 1.3MB

Link

https://aeji.journals.ekb.eg/article_392668.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=392668

Order

13

Type

Case report

Type Code

622

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

Severe Acute ulcerative Colitis Disease with Severe Celiac Disease Associated with Clostridium difficile Colitis Infection Complicated with Refeeding Syndrome, Challenging Case Report

Details

Type

Article

Created At

24 Dec 2024