Case 33021

Abstract
Presentation of CaseA twenty-seven-year-old, single, unemployed man entered the hospital because of chronic diarrhea and weight loss.Five years before admission the patient had suddenly developed lower abdominal cramps and profuse watery diarrhea. He was admitted to a hospital, where a diagnosis of chronic ulcerative colitis was confirmed by x-ray and sigmoidoscopic examinations. Repeated search for parasites in the stools was negative, as were blood cultures and serologic tests. After four weeks he was discharged essentially unimproved, having lost 30 pounds. He remained at home on restricted activity, with persistent, nonbloody diarrhea (five or six movements daily). A year . . .

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