A 42-year-old patient diagnosed with ulcerative pancolitis in 2003, corticoid-dependent, with a first episode of jaundice in August 2003 and superinfection with cytomegalovirus, who was treated with ganvir.
In May 2004, she presented a moderate bud with red blood diarrhea (2 daily stools) and since then chronic iron deficiency anemia treated with iron therapy.
Endoscopic examination revealed ulcerative pancolitis with severe involvement.
She was treated with corticosteroids and corticosteroids.
In June 2007 she presented a new sprout of disease activity with 10-12 daily liquid stools, abdominal pain and fever.
Due to the progressive clinical and analytical worsening presented by the patient and the poor response to conventional treatment, it was decided to start treatment with granulocytapheresis associated with cyclosporine iv.
While the patient was admitted, 4 sessions were held, requiring the placement of a double-lumen catheter in the right jugular.
There was a need to change central catheter due to infection MARSA contact isolation was performed. The remaining 3 sessions received them on an outpatient basis.
During these months, the patient had a rapid clinical and endoscopic improvement.
He is currently treated with azathioprine (Imurel®).
