Case Presentation: a Facial Ulceration in a Patient with Ulcerative Colitis

Abstract

We present the case of a patient with severe ulcerative colitis treated with infliximab that was admitted for an extensive facial ulceration located on the left cheek. Pyoderma gangrenosum, bacterial, mycobacterial and fungal infection were taken into account. The patient was diagnosed with a Klebsiella abscess originating from a tooth infection. Infectious complications might arise more frequently in IBD patients treated with anti TNF and adequate diagnosis and therapy is required.

Keywords

• facial ulceration
• ulcerative colitis
• infliximab
• pyoderma gangrenosum
• klebsiella infection