Analysis of Misdiagnosis of Crohnˊs Disease with Intestinal Fungal Infection
GE Jun-chen
CHEN Zhi-biao
LI De-cheng
CHEN Dong-feng
Abstract：Objective To summarize the clinical characteristics and misdiagnosis causes of Crohnˊs disease with intestinal fungal infection. Methods A retrospective analysis was conducted on the clinical data of a case of Crohnˊs disease with intestinal fungal infection which was misdiagnosed as ulcerative colitis ( UC) . Results The pa-tient was admitted to our hospital with abdominal pain and diarrhea for 7 years, which was aggravated 3 days before admission. The patient had visited the local hospital, and was misdiagnosed as UC and treated with Mesalazin Enter-ic-coated Tablets. However, the symptoms were not improved. After admission, on the basis of medical history and capsule endoscopy, the patient was diagnosed as Crohnˊs disease. During the treatment, the patient developed fever. The stool culture and other related tests confirmed Crohnˊs disease with intestinal fungal infections. The condition of the patient was improved and he was discharged home after treatment with Mesalazine SR Granules, methylpred-nisolone and fluconazole The patient was followed up for 6 months, and reported no recurrence. Conclusion Crohnˊs disease with intestinal fungal infection is rare in clinical settings, therefore, careful inquiry of medical history and comprehensive analysis of test results are useful for early diagnosis and improvement in prognosis.
Keywords：Crohnˊs diseaseFungal infectionsMisdiagnosisUlcerative colitis
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 16-19 )