JC Polyomavirus Nephropathy: A Rare Complication Late after Kidney Transplantation

Autor: Jennifer Scotti Gerber, Sara De Marchi, Ariana Gaspert, Thomas Fehr, Pietro E. Cippà
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Case Reports in Nephrology and Dialysis, Vol 14, Iss 1, Pp 148-157 (2024)
Druh dokumentu: article
ISSN: 2296-9705
DOI: 10.1159/000540294
Popis: Introduction: JC-polyomavirus-associated nephropathy (JC-PVAN) is a rare cause of allograft dysfunction with only a few cases described in the literature. Case Presentation: We present 2 cases of JC-PVAN, both of which occurred >5 years after kidney transplantation. In both cases, transplant biopsies were performed because of worsening of kidney function. We found tubulitis and interstitial inflammation; immunohistochemistry was positive for SV40, but BK virus was not detected. The presence of JC virus confirmed the diagnosis of JC-PVAN. Immunosuppressive therapy was adopted, but in both cases graft function progressively deteriorated. Conclusions: Our cases show that JC-PVAN, although much rarer than BK-PVAN, should be considered a possible cause of graft dysfunction even years after transplantation. Complete diagnostic workup, including kidney biopsy, is crucial for correct diagnosis and treatment.
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