case_images: PMC5394402_01
case_images: Posteroanterior chest X-ray demonstrating extensive ill-defined bilateral parenchymal opacities in the perihilar, mid, and lower lung zones.
case_images: CRIGM2017-7831907.001.jpg
case_images: PMC5394402_01_CRIGM2017-7831907.001.jpg
case_images: fig1
case_images: A chest X-ray revealed extensive ill-defined bilateral parenchymal opacities in the perihilar, mid, and lower lung zones (Figure 1).
case_images: First colonoscopy: extensive diverticulosis and solitary ulcer in the sigmoid colon.
case_images: CRIGM2017-7831907.002.jpg
case_images: PMC5394402_01_CRIGM2017-7831907.002.jpg
case_images: fig2
case_images: It also demonstrated an ulcer in the sigmoid colon which was biopsied (Figure 2).
case_images: Second colonoscopy: (a) cecal ulcer and (b) transverse colon ulcer.
case_images: CRIGM2017-7831907.003.jpg
case_images: PMC5394402_01_CRIGM2017-7831907.003.jpg
case_images: fig3
case_images: A repeat urgent colonoscopy revealed multiple ulcers at the anus and transverse and ascending colon as well as the cecum; the terminal ileum appeared normal (Figure 3).
case_images: CT chest with IV contrast taken on day 13. (a) shows right upper lobe cavitary lesion. (b) shows multilobar consolidation.
case_images: CRIGM2017-7831907.004.jpg
case_images: PMC5394402_01_CRIGM2017-7831907.004.jpg
case_images: fig4
case_images: These findings were suspicious for atypical infection (Figure 4).
case_images: (a) 20x hematoxylin and eosin (H&E) stain demonstrating active colitis with crypt abscess and an ill-defined defined granulomatous area. (b) 40x AFB stain of the splenic flexure with necrotizing granuloma and acid-fast bacilli (circled).
case_images: CRIGM2017-7831907.005.jpg
case_images: PMC5394402_01_CRIGM2017-7831907.005.jpg
case_images: fig5
case_images: AFB stain of the sigmoid ulcer biopsy was positive with findings consistent with mycobacterium (Figure 5).