BK virus encephalitis with thrombotic microangiopathy in an allogeneic hematopoietic stem cell transplant recipient

被引:30
|
作者
Lopes da Silva, R. [1 ,2 ]
Ferreira, I. [1 ]
Teixeira, G. [1 ]
Cordeiro, D. [3 ]
Mafra, M. [4 ]
Costa, I. [5 ]
Bravo Marques, J. M. [5 ]
Abecasis, M. [1 ]
机构
[1] Inst Portugues Oncol Lisboa, Serv Transplantacao Progenitores Hematopoiet, P-1070 Lisbon, Portugal
[2] Hosp Santo Antonio dos Capuchos CHLC, Serv Hematol, Lisbon, Portugal
[3] Inst Nacl Saude Dr Ricardo Jorge, Lisbon, Portugal
[4] Inst Portugues Oncol Lisboa, Serv Anat Patol, P-1070 Lisbon, Portugal
[5] Inst Portugues Oncol Lisboa, Serv Neurol, P-1070 Lisbon, Portugal
关键词
allogeneic hematopoietic stem cell transplant; immunosuppression; BK virus encephalitis; thrombotic microangiopathy; BONE-MARROW-TRANSPLANTATION; HUMAN-IMMUNODEFICIENCY-VIRUS; RENAL-ALLOGRAFT RECIPIENTS; HEMOLYTIC-UREMIC SYNDROME; THROMBOCYTOPENIC PURPURA; POLYOMAVIRUS-BK; HUMAN HERPESVIRUS-6; JC INFECTION; CYTOMEGALOVIRUS; PATIENT;
D O I
10.1111/j.1399-3062.2010.00581.x
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
P>BK virus (BKV) infection occurs most often in immunocompromised hosts, in the setting of renal or bone marrow transplantation. Hemorrhagic cystitis is the commonest manifestation but in recent years infections in other organ systems have been reported. We report an unusual case of biopsy-proven BKV encephalitis in a hematopoietic stem cell transplant patient who subsequently developed thrombotic microangiopathy. As far as we know, this is the first report of such an association in a transplant patient.
引用
收藏
页码:161 / 167
页数:7
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