Pathology Quiz Online

                   December  2004      Case - 39

                                                   Dr  Sampurna Roy  MD 

        Clinical History: A 65 year old female was admitted to the hospital with a two week history of  diarrhea,

         vomiting and low grade fever.

        Past medical history:   Patient had a long standing history of upper respiratory tract infection.

        She was admitted to the hospital several times during which she was treated with cephalosporin.

       Investigation: Plain x-ray of the abdomen revealed slight thickening of the bowel wall in the

       left upper quadrant.

       Laboratory tests:  Stool - Faecal occult blood test was positive. Moderate numbers of faecal 

       neutrophils were present.  Blood - Leukocytosis with raised neutrophil count.   

       Serum albumin level was very low.   Urine - Positive for protein. Sediments contained some neutrophils

       and red blood cells.

       Endoscopy : Revealed scattered well demarcated yellowish mucosal plaque-like lesions from rectum to

       splenic flexure.

                                                  Rectal biopsy for diagnosis -
                                           

                                                  DIAGNOSIS: