Double Whammy: A Case Report of Immune Checkpoint Inhibitor Colitis and Concomitant Cytomegalovirus Colitis in a Patient on Nivolumab

ACG Case Rep J. 2024 Dec 27;12(1):e01569. doi: 10.14309/crj.0000000000001569. eCollection 2025 Jan.

Abstract

Immune checkpoint inhibitors commonly cause gastrointestinal immune-related adverse effects. These patients also carry an increased risk of concomitant infections. This 66-year-old man with immune checkpoint inhibitor colitis was discovered to have concurrent Yersinia and Cytomegalovirus colitis. Such infections may mimic or complicate disease course. Hence, clinicians must monitor patient symptoms, have a low threshold for infectious testing and colonoscopy, and consider treatment strategies to mitigate their risk.

Keywords: CMV colitis; Yersinia infection; immune checkpoint inhibitor colitis; immune checkpoint inhibitors; immune-related adverse effects.

Publication types

  • Case Reports