Douglas Tjandra1*, Aysha Al-Ani1, Andrew Metz1,2 and Britt Christensen1
1Department of Gastroenterology, The Royal Melbourne Hospital, Australia
2Melbourne Medical School, The University of Melbourne, Australia
Ulcerative colitis is a relapsing-remitting inflammatory bowel disease. We present a case of a flare of proctitis due to primary herpes simplex 2 infection. We then outline the most common causes of proctitis, particularly infectious proctitis, highlighting the importance of obtaining a detailed sexual history in all patients with a flare of inflammatory bowel disease. Finally, we discuss the considerations and challenges of balancing immunomodulation and antiviral therapy in a viral flare of inflammatory bowel disease.
Tjandra D, Al-Ani A, Metz A, Christensen B. Case Report: Herpes Simplex Virus Causing a Flare of Ulcerative Colitis. Ann Clin Case Rep. 2019; 4: 1615.