Coexisting ICI colitis and recurrent C diff infection (CDI) is a challenging scenario given the need for immunosuppression in the setting of active infection. We present a case of a patient with low-grade B cell lymphoma on atezolizumab who developed concurrent ICI colitis and recurrent CDI refractory to standard therapies. Fecal Microbiota Transplantation provided rapid improvement in symptoms while allowing immunosuppression to be administered safely. We observed a sustained response as evidenced by repeat colonoscopies.

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Recurrent Clostridioides Difficile Infection and Colitis Post Immune Checkpoint Inhibitor Therapy

  • Elliot Baerman,
  • Kristin Junek,
  • Rey Cerbas Lavilla,
  • Xin Shelley Wang,
  • Yinghong Wang

摘要

Coexisting ICI colitis and recurrent C diff infection (CDI) is a challenging scenario given the need for immunosuppression in the setting of active infection. We present a case of a patient with low-grade B cell lymphoma on atezolizumab who developed concurrent ICI colitis and recurrent CDI refractory to standard therapies. Fecal Microbiota Transplantation provided rapid improvement in symptoms while allowing immunosuppression to be administered safely. We observed a sustained response as evidenced by repeat colonoscopies.