An 18 years old boy presented with intestinal obstruction and underwent ileo-cecal resection
Operative biopsy showed chronic active inflammation favouring TB
Did not respond to anti-TB drugs over 4 months- developed oral ulcers - responded initially to steroid but had persistent pain abdomen even after steroid and Azathioprine (see Colonoscopy picture)
What is the next step?
Biologics + ganciclovir
IHC for CMV
Ganciclovir/valganciclovir + steroids