[Recurrent polyomavirus infections in kidney transplants (BK virus nephropathy)]

Cesk Patol. 2004 Jan;40(1):25-8.
[Article in Czech]

Abstract

BK-virus nephropathy was recently recognised as a new complication that affects renal allografts and causes dysfunction. We report a case of a recipient of simultaneous kidney-pancreas allografts. Fourteen months after the transplant, the renal allograft became dysfunctional with elevation of serum creatinine level. The diagnosis of BK-virus nephropathy was established by needle renal biopsy with immunohistochemical detection of human polyoma virus. Immunosuppressive therapy was reduced but progressive dysfunction developed and the patient had to undergo a renal retransplantation 11 months after the diagnosis of the infection. Due to repeated renal dysfunction, needle biopsy was performed, and the diagnosis of repeated BK-virus nephropathy was established six months after the retransplantation. The pancreas allograft has functioned well for the entire period.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • BK Virus*
  • Biopsy, Needle
  • Humans
  • Immunocompromised Host*
  • Kidney / pathology
  • Kidney Diseases / diagnosis*
  • Kidney Diseases / pathology
  • Kidney Transplantation / immunology*
  • Male
  • Polyomavirus Infections / diagnosis*
  • Polyomavirus Infections / pathology
  • Recurrence
  • Reoperation
  • Tumor Virus Infections / diagnosis*
  • Tumor Virus Infections / pathology