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Heitham Abdul-Baki, Julia B. Greer, David G. Binion, Taher Reza Kermanshahi, Myron H. Brand, Emmanuelle D. Williams, Steven P. Bensen, Stefan D. Holubar, David J. Keljo, Miguel D. Regueiro, IBD LIVE Case Series–Case 5: The Many Faces of Cytomegalovirus in Inflammatory Bowel Disease, Inflammatory Bowel Diseases, Volume 22, Issue 9, 1 September 2016, Pages 2245–2254, https://doi.org/10.1097/MIB.0000000000000843
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Learning Objectives
After completing this IBD LIVE-CME activity, physicians should be better able to
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History
This is a 39-year-old white female with Crohn's disease (CD) presenting with bloody diarrhea and a recent history of cytomegalovirus (CMV) infection. She was diagnosed with CD in 2003 and has no other illnesses. She has a negative surgical history and is married, living with her husband and 3 children. She is a nonsmoker who does not use recreational drugs or drink alcohol. She has no known allergies to medications. She reports a second and/or third degree history of inflammatory bowel disease (IBD), with a great aunt having CD and a grandmother having “colitis.” No other gastrointestinal diseases run in her family. Her medications include mesalamine 400 mg TID, 6-mercaptopurine (6-MP) 1.5 mg/kg/day, prednisone 30 mg/day (tapered dose), omeprazole 20 mg/day, and an oral contraceptive pill. She denies a history of nonsteroidal anti-inflammatory drug use.