Evidence map›Paper›PMID 40365555›Full record

ArticleCase reports in gastroenterology

Cytomegalovirus Isolated to a Colon Polyp in a Patient with Ulcerative Colitis on Ozanimod: A Case Report.

Zehra Naseem, Ahmed Nadeem, Aidan J David, Aun Muhammad, Fatima Zehra Shah, Brian M Fung, Stephen B Hanauer, Joseph David

Abstract read
In one paragraph

Article in Case reports in gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zehra NaseemDepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
Ahmed NadeemDepartment of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
Aidan J DavidCollege of Arts and Sciences, Case Western Reserve University, Cleveland, OH, USA.
Aun MuhammadDepartment of Internal Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Fatima Zehra ShahDepartment of Pediatrics, Cleveland Clinic Children's, Cleveland, OH, USA.
Brian M FungGI Alliance, Phoenix, AZ, USA.
Stephen B HanauerDepartment of Gastroenterology and Hepatology, Northwestern Memorial Hospital, Chicago, IL, USA.
Joseph DavidGI Alliance, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cytomegalovirus (CMV) infection is a notable gastrointestinal infection affecting immunocompromised patients. In the gastrointestinal tract, CMV often presents with patchy or diffuse mucosal involvement and can cause fulminant colitis. However, polypoid CMV lesions are rare. We present a case of a 49-year-old man with ulcerative colitis (UC) in remission on ozanimod who developed CMV isolated to inflammatory colon polyps. Case Presentation: A 49-year-old patient with UC in clinical remission on ozanimod underwent routine surveillance colonoscopy, which revealed multiple inflamed polyps with white caps. Biopsy results confirmed inflammatory polyps with positive CMV immunostaining, while adjacent tissues and plasma CMV PCR tests were negative. The patient successfully completed a 3-week course of valganciclovir. Follow-up colonoscopy revealed additional inflammatory polyps but no evidence of CMV. He remained in clinical remission and continued ozanimod therapy. Conclusion: The unusual nature of this presentation suggests a clinically silent CMV reactivation or, alternatively, a primary CMV infection in our patient, with an unclear natural history and optimal management. This report emphasizes the importance of considering CMV in UC patients with unusual endoscopic findings and the need for multidisciplinary collaboration to optimize care.

Indexed as

Colonic polypCytomegalovirusOzanimodUlcerative colitis

Identifiers

PMID40365555
PMCPMC12074617

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.