Infectious Meningovasculitis Secondary to a Rectothecal Fistula in a Patient with Crohn’s Disease

Abstract

We present a case of a 52-year-old male, with a diagnosis of Crohn’s disease with multiple fistulae, with a previous pelvic magnetic resonance imaging (MRI) revealing several bi-lateral perianal fistulae extending to the pre-sacral region, and numerous collections in the retrosacral region, compatible with suppurative hidradenitis. He had never been treated with any immunosuppressive treatment nor had been submitted to surgical intervention.