NON-SPECIFIC ULCERATIVE COLITIS AND COVID-19, A CASE STUDY
Abstract
Background. COVID-19 infection keeps changing our understanding of its clinical course when associated with various somatic diseases. Objective. To present a clinical case of a patient with non-specific ulcerative colitis (NUC) and COVID-19 infection. Material and methods: medical documentation, general clinical, laboratory and instrumental data as well as histological examination of bioptates stained with hematoxylin and eosin that were obtained during colonoscopy. Results. The article presents a case history of a patient with manifestations of severe total NUC developed in association with the subclinical form of COVID-19 infection, the former being the cause of death in concomitant pathology. Conclusions. This clinical case describes a variant of an unfavorable outcome of NUC, one of the reasons for the manifestation of which was the atypical form of COVID-19 infection, which became a trigger for an autoimmune inflammatory process in the intestine. The accumulation of new knowledge about the features of the pathogenesis and manifestations of both pathologies will make it possible to improve the effectiveness of treatment and predict the course and outcomes of combined pathology.References
Ivashkin VT, Sheptulin AA, Zolnikova OJu, Ohlobystin AV, Polujektova EA, Truhmanov AS, Shirokova EN, Gonik MI, Trofimovskaja NI. Novaja koronovirusnaja infekcija (COVID-19) [New coronavirus infection (COVID-19) and digestive system]. Rossijskij zhurnal Gastrojenterologii, gepatologii i koloproktologii [The Russian Journal of Gastroenterology, Hepatology, Coloproctology]. 2020;30(3):7-13. https://doi.org/10.22416/1382-4376-2020-30-3-7. (Russian).