Evidence map›Paper›PMID 41846476›Full record

ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2026

Clinical Impact of Cytomegalovirus Infection in Patients with Inflammatory Bowel Disease.

Bengü Dursun, Mesut Gumussoy, Murat Törüner

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Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2026. 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

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Bengü DursunDepartment of Internal Medicine, Ankara University Faculty of Medicine, Ankara, Türkiye.
Mesut GumussoyDepartment of Gastroenterology, Ankara University Faculty of Medicine, Ankara, Türkiye.
Murat TörünerDepartment of Gastroenterology, Ankara University Faculty of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsPatients with inflammatory bowel disease (IBD) are at increased risk of cytomegalovirus (CMV) infection, likely due to malnutrition and immunosuppressive therapies. Cytomegalovirus infection may contribute to worse disease outcomes, including higher colectomy rates. However, the prognostic value of serum cytomegalovirus deoxyribonucleic acid (CMV-DNA) levels and the clini cal significance of CMV colitis remain unclear. This study aimed to assess the impact of CMV infection on the clinical course of IBD. MATERIALS AND

methodsRetrospective analysis was performed on 141 hospitalized IBD patients with detectable serum CMV-DNA (>42 copies/mL). Cytomegalovirus colitis was diagnosed by histopathology or immunohistochemistry. Clinical features were compared between CMV colitis and non-colitis groups. Receiver operating characteristic analysis assessed the optimal CMV-DNA cut-off, and logistic regression identified predictors of adverse outcomes (mortality or colectomy).

resultsCytomegalovirus colitis was identified in 18.4% of patients. While there were no significant differences in age, treatment his tory, or colectomy rates between groups, patients with CMV colitis had significantly higher serum CMV-DNA levels (median: 837 vs. 267 copies/mL; P = .019), longer hospitalization durations (P = .001), and more frequent comorbidities (P = .019). The optimal CMV-DNA cut off was 468.5 copies/mL (area under the curve (AUC) 0.64; sensitivity 61.5%, specificity 61.7%). Adverse outcomes occurred in 24% of cases. Extensive colitis (odds ratio 2.92; P = .034) independently predicted poor outcomes; CMV-DNA levels did not.

conclusionCytomegalovirus colitis is an uncommon but clinically significant complication in IBD flares. Although high serum CMV DNA levels were associated with CMV colitis, their diagnostic value was limited. Extensive colitis is an independent predictor of poor outcomes.   Cite this article as: Dursun B, Gumussoy M, T.rüner M. Clinical impact of cytomegalovirus infection in patients with inflammator bowel disease. Turk J Gastroenterol. 2026;37(3):373-379.

Indexed as

ColitisCytomegalovirusCytomegalovirus InfectionsInflammatory Bowel DiseasesAdultColectomyDNA, ViralFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesROC CurveDNA, Viral

Identifiers

PMID41846476
PMCPMC12994425

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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.