A 68-year-old male presented with history of loose stools and lower abdominal pain and cramps of 10 days duration. He had multiple comorbidities which included systemic arterial hypertension, diabetes mellitus and coronary artery disease. He was recently hospitalised for ischaemic stroke and had suffered from hospital-acquired pneumonia (HAP) as well. On examination, he had low-grade fever and minimal lower abdominal tenderness. Haemogram revealed mild anaemia and polymorphonuclear predominant leukocytosis. Biochemical parameters were within normal limits. Sigmoidoscopy revealed multiple yellowish adherent plaques (Figs. 1A and 1B).
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