| Summary points: | A 21-year-old male admitted to hospital for an acute flare of ulcerative colitis develops worsening colitic and new respiratory symptoms shortly after apparently effective treatment. This case report describes the patient's medical history, current prescriptions, blood tests, abdominal x-ray, lung function, CT pulmonary angiogram, bronchoalveolar lavage washings, treatment, and outcomes; several images provided. The authors discuss the possibility of opportunistic infections in patients with inflammatory bowel disease naïve to anti-TNF alpha therapy. |
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Pneumocystis Jiroveci Pneumonia and Pneumomediastinum in an Anti-Tnfalpha Naive Patient with Ulcerative Colitis
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