Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience

Background and Objectives: Human cytomegalovirus infection poses an important public health issue. This issue in India has not received enough attention. The majority of research workers have highlighted the seroprevalence of human cytomegalovirus. Hence this study was conducted to find out true ma...

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Main Authors: Bashir Ahmad Fomda, Munaza Aman, Sanam Wani, Irfan ul Haq, Uksim Qadri, Insha Altaf, Sheikh Imtiyaz, Naseer A Bhat
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-07-01
Series:Iranian Journal of Microbiology
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Online Access:https://ijm.tums.ac.ir/index.php/ijm/article/view/5146
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author Bashir Ahmad Fomda
Munaza Aman
Sanam Wani
Irfan ul Haq
Uksim Qadri
Insha Altaf
Sheikh Imtiyaz
Naseer A Bhat
author_facet Bashir Ahmad Fomda
Munaza Aman
Sanam Wani
Irfan ul Haq
Uksim Qadri
Insha Altaf
Sheikh Imtiyaz
Naseer A Bhat
author_sort Bashir Ahmad Fomda
collection DOAJ
description Background and Objectives: Human cytomegalovirus infection poses an important public health issue. This issue in India has not received enough attention. The majority of research workers have highlighted the seroprevalence of human cytomegalovirus. Hence this study was conducted to find out true magnitude of human cytomegalovirus disease. Materials and Methods: Samples from 181 patients with suspected human cytomegalovirus disease were analyzed for human cytomegalovirus. DNA extraction was followed by real-time PCR. Human cytomegalovirus DNA-specific probes, fluorophore FAM™ and fluorophore JOE™ were utilized to detect human cytomegalovirus specific DNA and internal control at the same time. After completion of the assay, fluorescent growth curves were examined, and the response growth curves passing the threshold line in less than 36 cycles were deemed to be positive. All relevant clinical, demographic, and epidemiological information of the patients was also recorded. Results: The most common clinical presentation was meningitis/meningoencephalitis. Out of the total samples, human cytomegalovirus infection was detected in 21% of the samples. Most positive samples were from infants (18.2%), followed by post-renal transplant cases (2.7%). Human cytomegalovirus was detected in urine samples (17.1%) followed by serum (3.8%). Four out of the 14 CSF samples were tested for other viruses as well, and they were positive for EBV (n=1, 7%), enterovirus (n=2, 14%), and varicella zoster virus (n=1, 7%). Conclusion: PCR has a significant role in the detection of human cytomegalovirus disease at an early stage to avoid irreversible sequelae of late diagnosis.
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institution Kabale University
issn 2008-3289
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publishDate 2025-07-01
publisher Tehran University of Medical Sciences
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spelling doaj-art-2f543539a3184ad3a669daa58fbfef462025-08-20T04:02:32ZengTehran University of Medical SciencesIranian Journal of Microbiology2008-32892008-44472025-07-0117410.18502/ijm.v17i4.19255Cytomegalovirus infection in patients attending a tertiary care hospital – single center experienceBashir Ahmad Fomda0Munaza Aman1Sanam Wani2Irfan ul Haq3Uksim Qadri4Insha Altaf5Sheikh Imtiyaz6Naseer A Bhat7Department of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, SrinagarDepartment of Microbiology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar Background and Objectives: Human cytomegalovirus infection poses an important public health issue. This issue in India has not received enough attention. The majority of research workers have highlighted the seroprevalence of human cytomegalovirus. Hence this study was conducted to find out true magnitude of human cytomegalovirus disease. Materials and Methods: Samples from 181 patients with suspected human cytomegalovirus disease were analyzed for human cytomegalovirus. DNA extraction was followed by real-time PCR. Human cytomegalovirus DNA-specific probes, fluorophore FAM™ and fluorophore JOE™ were utilized to detect human cytomegalovirus specific DNA and internal control at the same time. After completion of the assay, fluorescent growth curves were examined, and the response growth curves passing the threshold line in less than 36 cycles were deemed to be positive. All relevant clinical, demographic, and epidemiological information of the patients was also recorded. Results: The most common clinical presentation was meningitis/meningoencephalitis. Out of the total samples, human cytomegalovirus infection was detected in 21% of the samples. Most positive samples were from infants (18.2%), followed by post-renal transplant cases (2.7%). Human cytomegalovirus was detected in urine samples (17.1%) followed by serum (3.8%). Four out of the 14 CSF samples were tested for other viruses as well, and they were positive for EBV (n=1, 7%), enterovirus (n=2, 14%), and varicella zoster virus (n=1, 7%). Conclusion: PCR has a significant role in the detection of human cytomegalovirus disease at an early stage to avoid irreversible sequelae of late diagnosis. https://ijm.tums.ac.ir/index.php/ijm/article/view/5146Human cytomegalovirusCongenitalPost renal transplantReal-time polymerase chain reaction
spellingShingle Bashir Ahmad Fomda
Munaza Aman
Sanam Wani
Irfan ul Haq
Uksim Qadri
Insha Altaf
Sheikh Imtiyaz
Naseer A Bhat
Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
Iranian Journal of Microbiology
Human cytomegalovirus
Congenital
Post renal transplant
Real-time polymerase chain reaction
title Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
title_full Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
title_fullStr Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
title_full_unstemmed Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
title_short Cytomegalovirus infection in patients attending a tertiary care hospital – single center experience
title_sort cytomegalovirus infection in patients attending a tertiary care hospital single center experience
topic Human cytomegalovirus
Congenital
Post renal transplant
Real-time polymerase chain reaction
url https://ijm.tums.ac.ir/index.php/ijm/article/view/5146
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