13 August 2015
: Case report 
A Case of BK Nephropathy without Detectable Viremia or Viruria
Unusual clinical course, Challenging differential diagnosis, Educational Purpose (only if useful for a systematic review or synthesis)
Mahmoud KamelBCEF, Manish KadianB, Maria Nieva SalazarD, Prince MohanE, Sally SelfB, Titte SrinivasA, Maria Aurora Posadas SalasCDDOI: 10.12659/AJCR.894314
Am J Case Rep 2015; 16:532-535
Abstract
BACKGROUND: BK nephropathy is an evolving challenge among kidney transplant recipients. Diagnosis of BK nephropathy depends on the presence of BK viral inclusions on renal biopsy. Most cases of BK nephropathy are preceded by BK viremia or viruria.
CASE REPORT: We report a case of BK nephropathy found on protocol renal transplant biopsy without associated BK viremia or viruria.
CONCLUSIONS: BK nephropathy may occur even in the absence of BK viremia or viruria. Protocol biopsy is a useful tool to detect these cases.
Keywords: BK Virus, Kidney Diseases - virology, Polyomavirus Infections - therapy, Tumor Virus Infections - therapy
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