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BK virus nephropathy in a pediatric patient after hematopoietic stem cell transplantation
Author(s) -
Aksenova M.,
Tsetlina V.,
Gutovskaya E.,
Mitrofanova A.,
Balashov D.,
Maschan A.
Publication year - 2015
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12411
Subject(s) - medicine , bk virus , cidofovir , immunosuppression , nephropathy , leflunomide , hematopoietic stem cell transplantation , transplantation , renal function , immunology , gastroenterology , kidney transplantation , urology , virus , endocrinology , methotrexate , diabetes mellitus
We report the case of a seven‐yr‐old Caucasian girl who presented with progressive deterioration of renal function 13 months after HSCT for myelodysplastic syndrome. BK virus nephropathy was suspected and confirmed. After reduction of immunosuppression and treatment with IVIG , leflunomide, ciprofloxacin, and cidofovir, clearance of BK virus from blood was achieved, and further progression or renal failure was prevented. We believe that BK virus nephropathy should be considered in cases of renal function deterioration in all immunocompromised patients.