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Edwardsiella tarda Infection Triggering Acute Relapse in Pediatric Crohn's Disease
A K Li1, M Barton1, J A Delport2
1Department of Pediatrics, Western University, London, Ontario, Canada N6A 3K7.
Insights
Crohn's disease flares can be triggered by bacterial infections. This case report details a child whose Crohn's disease exacerbation was linked to Edwardsiella tarda, emphasizing prompt infection treatment.
Area of Science:
- Pediatric Gastroenterology
- Inflammatory Bowel Disease
- Infectious Diseases
Background:
- Crohn's disease (CD) exacerbations are frequently linked to bacterial gastroenteritis.
- Identifying and treating concurrent infections is crucial for managing CD flares.
Abstract:
Crohn's disease exacerbations can often be associated with bacterial infections causing gastroenteritis. We report a child who experienced exacerbation of his Crohn's disease associated with a positive stool culture for Edwardsiella tarda (E. tarda). Endoscopy showed features of moderate inflammation similar to exacerbation of Crohn's disease. The patient was treated simultaneously with intravenous steroids and antibiotics, and his symptoms resolved. This case report highlights the importance of clinicians being able to promptly recognize and treat concurrent bacterial infections in Crohn's disease exacerbations.
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