Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.16/2244
Título: BK virus nephropathy in kidney transplantation - A literature review following a clinical case
Autor: Barreto, P.
Almeida, M.
Dias, L.
Vieira, P.
Pedroso, S.
Martins, L.
Castro-Henriques, A.
Cabrita, A.
Palavras-chave: Atypical presentation
BK virus
Early diagnosis
kidney transplant
Nephritis
Therapeutic interventions
Data: 2016
Editora: Sociedade Portuguesa de Nefrologia
Citação: Port J Nephrol Hypert 2016; 30(4): 259-268
Resumo: Over the last 15 years, better immunosuppressive drugs have decreased acute rejection rates in kidney transplantation but have also led to an increase in the incidence and impact of BK virus nephropathy. The authors report the case of a 62 -year -old man submitted to a renal transplant of a deceased donor with an immunosuppression regimen free of rabbit anti -thymocyte globulin and tacrolimus, in whom BK nephropathy was diagnosed at seven weeks post -transplant. Intravenous human immunoglobulin (IVIG) was administered after immunosuppression reduction. Instituted treatment was successful. This clinical case highlights the importance of a high index of suspicion for an atypical presentation of BK nephropathy in renal transplant recipients and strengthens the need for other therapeutic interventions beyond the reduction of immunosuppression. It was the starting point for a review of BK virus nephropathy in kidney transplantation with a focus on risk factors, diagnosis and treatment.
Peer review: yes
URI: http://hdl.handle.net/10400.16/2244
ISSN: 2183-1289
Versão do Editor: http://www.spnefro.pt/rpnh/browse_all_issues/62_volume_30_number_4
Aparece nas colecções:SNEF - Artigos publicados em revistas não indexadas na Medline

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