Unusual presentations of BK virus infections in pediatric renal transplant recipients. (22nd November 2012)

• Record Type: Journal Article
• Authors: Drake, Keri A.; Najera, Lydia; Reed, Robyn C.; Verghese, Priya S.
• Is Part Of: Pediatric transplantation. Volume 17:Number 1(2013:Feb.)
• Page Start: E9
• Page End: E15
• Publication Date: 2012-11-22
• Subjects: Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.12026
• Languages: English
• ISSNs: 1397-3142

Abstract

<abstract abstract-type="main" xml:lang="en" id="petr12026-abs-0001"> <title>Abstract</title> <p>BKV has emerged as a significant pathogen in the field of transplantation, predominantly causing BKV nephropathy in renal transplant recipients and hemorrhagic cystitis in HSCT recipients. However, case reports describe more diverse complications, and we too present three unusual cases of BKV infections in pediatric renal transplant recipients. First, we describe a case of biopsy‐proven renal damage secondary to BKV prior to the onset of viremia, demonstrating that BKV nephropathy can occur without preceding viremia. We also present two renal transplant recipients with persistent BK viruria, one with BKV‐associated hemorrhagic cystitis and the other with microscopic hematuria. Therefore, we conclude that BKV manifestations may be more diverse than previously thought and suggest clinical utility in urine BKV qPCR testing in specific transplant recipients.</p> </abstract>