Table 3.
Detailed characteristics of patients with positive CMV histopathology on colonic biopsies
| Biologic | Sex | Prior history of CMVC | Age at biologic initiation | Mayo endoscopic subscore prior to biologic initiation | Mayo endoscopic subscore at time of biopsies for CMV | Days from biologic initiation to CMV biopsies | Colon CMV histopathology | Corticosteroids at the time of colonic biopsies for CMV | CMV biopsies taken during a hospitalization | Received antiviral therapy for CMVC | Colectomy within 30 days of CMVC | Death within 30 days of CMVC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IFX | F | No | 78 | 3 | 3 | 9 | Numerous CMV inclusions are present. | Yes | Yes | Yes | No | No |
| ADA | M | No | 32 | 2 | 2 | 382 | Immunohistochemical stain for CMV shows scattered positive cells. | Yes | No | Yes | No | No |
| IFX | M | No | 78 | 3 | 3 | 7 | Viral cytopathic effect consistent with cytomegalovirus infection (H&E stain). | Yes | Yes | Yes | Yes | No† |
| IFX | M | No | 24 | 3 | 3 | 6 | Numerous enlarged cells with viral inclusions are identified. These cells are positive for CMV on immunochemistry. | Yes | Yes | Yes | No | No |
| IFX | M | No | 32 | 3 | 3 | 17 | CMV positive on immunohistochemical staining | Yes | Yes | Yes | No | No |
| ADA | F | No | 19 | 3 | 2 | 55 | Rare endothelial cells immunohisto-chemically positive for CMV | Yes | Yes | No | No | No |
Death did occur 34 days after CMV colitis diagnosis (due to post-operative complications after colectomy).
Abbreviations: CMVC = cytomegalovirus colitis, ADA = adalimumab, IFX = infliximab, F = female, M = male