A Case of Unremitting Fevers.

The patient had been feeling well and in his usual state of health, when he first noticed increasing rectal drainage. This was followed several days later by malaise and fevers to 40.5 degrees Celsius. He was evaluated at an emergency department, where computed tomography (CT) imaging of the abdomen and pelvis demonstrated sigmoid colon wall thickening, left perianal inflammation, and sinus tract formation concerning for active Crohn's disease. The patient declined admission and was prescribed amoxicillin-clavulanate. Due to concerns for concomitant intestinal infection, he was also counseled to stop adalimumab, which he had used for 5 months to treat his Crohn's disease. This article is protected by copyright. All rights reserved.