Management of Ulcerative Colitis Flare-Ups in the Era of COVID-19

Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) whose management depends on its severity, localization, and course. The coronavirus disease 2019 (COVID-19) pandemic has made the management of this disease more difficult, as severe acute respiratory syndrome coronavirus 2 (SARS-...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-12, Vol.14 (12), p.e32153
Main Authors: Mounsif, Sara, Setouani, Hiba, Nadi, Anass, Ghalim, Fahd, Delsa, Hanane
Format: Article
Language:English
Subjects:
Abdomen
Case reports
Colonoscopy
COVID-19
Diarrhea
Disease
Endoscopy
Feces
Gastroenterology
Infections
Infectious Disease
Inflammatory bowel disease
Pandemics
Patients
Remission (Medicine)
Severe acute respiratory syndrome coronavirus 2
Steroids
Therapeutics
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Summary:Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) whose management depends on its severity, localization, and course. The coronavirus disease 2019 (COVID-19) pandemic has made the management of this disease more difficult, as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) routinely causes respiratory infection, but can also target the gastrointestinal tract. Multiple cases of de novo IBD, IBD flare-ups, and colitis have been associated with COVID-19 infection. We present the case of two patients, with a history of UC, who presented respectively a mild and a severe flare-up of their disease associated with COVID-19 infection. Regardless of recommendations, we decided to optimize the patient's treatment and obtained good clinical, biological, and endoscopic results. This report on the two cases suggests that remaining cautious and optimizing can be a good therapeutic alternative for these patients rather than modifying the treatment.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.32153