Prevalence and Diagnostic Challenges of Cytomegalovirus Colitis in Inflammatory Bowel Disease: A Retrospective Study From a Romanian Tertiary Care Center

CMV colitis was uncommon in this cohort of evaluated patients. Diagnosis primarily relied on histopathologic confirmation, with serology serving only as a limited adjunct. CMV infection should be considered in patients with active or steroid-refractory disease. Observations regarding corticosteroid exposure should be interpreted cautiously and considered hypothesis-generating.