Diarrhea in an immunosuppressed patient – The Accordion Sign

A 58  year old gentleman with a history of acute myeloid leukaemia and allogenic stem cell transplant presented with recurrent diarrhoea. He was commenced on empirical methylprednisone due to concerns about graft-versus-host-disease (GVHD). Physical examination was unremarkable. He had raised inflammat ory makers (C-reactive protein of 48.4 mg/L), normal white cell count (5.3 × 10^9/L) and a low positive cytomegalovirus DNA (327copies/mL). A Computed Tomography (CT) of his abdomen with oral and intravenous contrast (Fig.

Source: International Journal of Infectious Diseases - April 4, 2019 Category: Infectious Diseases Authors: May YW Wong, Salman Ansari, Joo S. Shin, David Koorey, John Gibson Tags: Medical Imagery Source Type: research