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Case of diarrhoea
  1. Giorgio Bartalucci1,
  2. David Parham2,
  3. Richard Felwick1
  1. 1Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  2. 2Histopathology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  1. Correspondence to Dr Richard Felwick, Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, UK; richard.felwick{at}

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A 66-year woman presented to our hospital with a 6-week history of watery diarrhoea and central abdominal pain. She was taking naproxen occasionally with omeprazole for osteoarthritis but was not on any other regular medications. She had no significant medical history.

On admission, physical examination was unremarkable. Laboratory evaluation showed an elevated C reactive protein of 95 mg/L and white cell count of 11.8×109/L. The remainder of her routine biochemistry was within normal ranges. On admission, faecal pathogen PCR panel for bacterial infection including Clostridioides difficile (C. difficile) was negative. Abdominal X-ray showed …

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  • Contributors All authors contributed to this work. GB and RF drafted the manuscript; DP provided histology image and review; DP and RF reviewed the manuscript .

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.