Cytomegalovirus Enterocolitis in a Patient with Refractory Immune-Related Colitis
In: Case Reports in Gastroenterology Case Reports in Gastroenterology, Jg. 14 (2020), Heft 1, S. 103-109
Online
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Zugriff:
Although most immune-related adverse events (irAEs) secondary to immune checkpoint inhibitors can be managed with immunosuppressive therapies; they can induce reactivation of infectious diseases, including cytomegalovirus (CMV). Here, we show a case of CMV enterocolitis during steroid therapy for an irAE. A 77-year-old man with unresectable malignant melanoma was treated with ipilimumab. He suffered from immune-related colitis (irColitis) and was treated with methylprednisolone. Although corticosteroids initially improved his symptoms, CMV reactivation occurred and colitis was exacerbated. Antiviral therapy improved his symptoms without augmenting the immunosuppressive therapy. CMV colitis should be considered when a patient with irColitis shows resistance to immunosuppressive therapy.
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Cytomegalovirus Enterocolitis in a Patient with Refractory Immune-Related Colitis
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Autor/in / Beteiligte Person: | Furuta, Yoki ; Tanaka, Motohiko ; Hinokuma, Yukari ; Naoe, Hideaki ; Miyamura, Tomohiro ; Shimoda, Miki ; Miyashita, Azusa ; Sasaki, Yutaka ; Miyamoto, Hideaki ; Fukushima, Satoshi |
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Zeitschrift: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Jg. 14 (2020), Heft 1, S. 103-109 |
Veröffentlichung: | S. Karger AG, 2020 |
Medientyp: | unknown |
ISSN: | 1662-0631 (print) |
DOI: | 10.1159/000506186 |
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