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Interesting Case of the Month - (IGHP, ICOM) - February

february 2025

Clinical History-

76-year-old male admitted in ICU for past 20 days. Labs -Hb-11.2 mg/ dl, TLC -6010, Plt-1.87

Colonoscopy-

On Colonoscopy- Diffuse ulcers in colon

Microscopic Images-

Histology from biopsy bits showed multiple areas of abrupt volcanic eruptions.

Microbiology

Immunochromatography of stool sample for Clostridium Difficle Toxin B is positive. Glutamate dehydrogenase ‘ GDH’ and Toxin A are negative.

Diagnosis-

Pseudomembranous colitis
CMV Colitis
Ulcerative Colitis
Amoebic Colitis