Visible Worms in a Crohn’s Patient Treated with Infliximab

Question: A 23-year-old man presented with a complaint of visible worms seen after defecation. He has had small bowel and perianal Crohn’s disease diagnosed 6 months earlier, which required three abscess drainage procedures and hospitalizations. Initial treatment with a several antibiotic courses and 6-mercaptopurine lead to a slight improvement. Treatment with infliximab therapy (5 mg/kg) added to 6-mercaptopurine was instituted and resulted in...