MRCP2-2157

MRCP2-2157

A 28-year-old male is admitted to the gastroenterology ward with a flare up of his Crohn’s disease. He has a one week history of passing loose stools, up to 7 times per day, alongside severe generalised abdominal pain and fevers. His observations are as follows: heart rate 98/min, blood pressure 116/80 mmHg, respiratory rate 18/min, SpO2 99%, Temperature 38.1ºC.

Blood results reveal the following:
CRP 105 mg/L

He is currently being treated with IV hydrocortisone, which he has taken for 6 days with no improvement in symptoms.

What is the next step in management to consider for this patient?