A Longitudinal Molecular Surveillance Study of Human Polyomavirus Viremia in Heart, Kidney, Liver, and Pancreas Transplant Patients
Author(s) -
Raymund R. Razonable,
Robert A. Brown,
Atul Humar,
Emma Covington,
Emma Alecock,
Carlos V. Payá
Publication year - 2005
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/466532
Subject(s) - subclinical infection , viremia , medicine , pancreas , kidney , jc virus , pancreas transplantation , polyomavirus infections , pathology , heart transplantation , bk virus , kidney transplantation , transplantation , gastroenterology , virology , immunology , virus , progressive multifocal leukoencephalopathy
In this study of 263 heart, kidney, liver, and pancreas transplant patients, BK virus (BKV) and JC virus (JCV) DNAemia were observed most commonly in kidney and/or pancreas transplant patients (26%), although they were also observed, to a lesser extent, in heart (7%) and liver (4%) transplant patients. The majority of episodes of polyomavirus DNAemia were subclinical, although, in some cases, BKV DNAemia was associated with kidney rejection, and JCV DNAemia was accompanied by nonspecific symptoms. Hence, BKV and JCV DNAemia are not uncommon during the first year after kidney, heart, liver, and pancreas transplantation, and they could be associated with certain clinical syndromes in transplant patients.
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