2011, Number 2
<< Back Next >>
Med Sur 2011; 18 (2)
Infección por virus BK en pacientes con trasplante renal
Meza-Meneses P, Correa-Morales A, Manzano-Robleda M, Zamudio-Coronado W, Vidal-Tamayo R
Language: Spanish
References: 12
Page: 52-56
PDF size: 77.19 Kb.
ABSTRACT
Currently, the number of kidney transplants had increased around
the world caused there are more live-related donors and the surgical
technique has been improved. Although, the immunosuppressive
therapy related infectious diseases are still a challenge for the
physicians to diagnose and treat. The infection with BK virus presents
almost exclusively in patients with a kidney transplant and is
related with rejection of the renal graft; so it’s recommended to
determine the viral load in blood or urine in a routinely way for an
early diagnose and treatment to avoid this complication. We present
a case report of a man that underwent kidney transplantation
and 4 years later developed an infection with BK virus in urinary
tract that conditioned renal graft rejection. In this article, we make a
review of epidemiology, clinical manifestations, diagnosis and treatment
of the infection of BK virus.
REFERENCES
Humar A, Michaels M. American Society of Transplantation recommendations for screening, monitoring and reporting of infectious complications in immunosupression trials in recipients of organ transplantation. Am J Transplant 2006; 6: 262-74.
Avery RK. Infectious disease following kidney transplant: Core curriculum 2010. Am J Kidney Dis 2010; 55: 755-71.
Milton R, Tong CYW. Antiviral therapy for polyomavirus-associated nephropathy after renal transplantation. J Antimicrob Chemother 2008; 62: 855-9.
Melchor-Ortíz JL, Gracida-Juárez C, López-Hernández A, et al. Mil trasplantes renales en el CMN Siglo XXI (1963-1998): primera experiencia en México. Nefrol Mex 2000; 21: 16.
Rodríguez-Martín C, Contreras-González N, Jaramillo-Politrón RE, Kaji-Kiyono J, Adame-Pinacho M, Manifacio-Rodríguez G. Trasplante renal. Experiencia de 10 años en el Hospital Regional 1o de Octubre, ISSSTE. Rev Mex Urol 2001; 61: 231-5.
Gutiérrez-Vega R, Martínez-Hernández B, García-Irigoyen C. Experiencia en trasplante renal en el Hospital General de México. Rev Med Hosp Gen Mex 1998; 61: 147-50.
Cruz-Valdéz J. Trasplante renal. Experiencia de una institución universitaria. Med Univer 2001; 31: 197-9.
National Center for Health Statistics. Health, United States, 2009: With special feature on medical technology [On line]. Disponible en: http://www.cdc.gov/nchs/data/hus/hus09.pdf#specialfeature [Consulta: 2 de mayo 2011].
Tan CS, Koralink IJ. JC, BK, and other polyomaviruses: progressive multifocal leukoencephalopathy. In: GL Mandell, Bennet JE, Dolin R (eds.). Mandell: Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 7th. Ed. Churchill Livingstone: An Imprint of Elsevier; 2009.
Randhawa P, Brennan DC. BK virus infection in transplant recipients: An overview and update. Am J Transplant 2006; 6: 2000-5.
Petrogiannis-Haliotis T, Sakoulas G, Kirby J, et al. BK-related polyomavirus vasculopathy in a renal-transplant recipient. N Engl J Med 2001; 345: 1250-5.
Hirsh H. Prospective study of polyomavirus type BK replication and nephropathy in renal transplant recipients. N Eng J Med 2002; 347: 488-96.