A hidden pathology: Crohn disease

Abstract

A woman suffering from type 2 diabetes mellitus was admitted, in April 2010, to the Internal Medicine Department for hyperpyrexia: then a diagnosis for spondylodiscitis D3-D4 (Staphylococcus aureus) was made. During these last months, we diagnosed sepsis due to Staphylococcus epidermidis and Escherichia coli, lung consolidation and critical respiratory failure of the 1st type, pulmonary infection due to Candida albicans, and anaemia of multifactorial origin. During PET examination the tracer was initially fixed on the dorsal side, after an antibiotic treatment just at the level of the large intestine’s walls. The diagnosis that explained the chronic anaemia, the spondylodiscitis and the recurring sepsis with pneumonia was made thanks to the colonscopy and the calprotectin increase: Crohn disease in relative activity.