Authors: Vikas R Dharnidharka Husam A Abdulnour Carlos E Araya
Publish Date: 2010/12/15
Volume: 26, Issue: 10, Pages: 1763-1774
Abstract
The BK virus a DNA virus from the Polyomavirus group represents an opportunistic infection of immunosuppressed transplant recipients Though the virus was discovered approximately 40 years ago the emergence of BK virus nephropathy since 1995 onwards with associated high graft loss rates has revolutionized renal transplantation medicine Kidney transplant professionals realized that the consequences of overimmunosuppression were as severe as the consequences of underimmunosuppression and we entered the era of immunosuppressive minimization Despite this recognition the optimal testing type for BK virus infections and frequency of testing are hotly debated Similarly optimal treatment strategies remain sources of intense controversy The authors review the current strategies of screening diagnosis and possible treatment and also review the amount and quality of evidence in favor or against Similarities and differences between cytomegalovirus EpsteinBarr virus and BV virus the three major viral infections in kidney transplantation are highlighted
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