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Thursday, September 2, 2021

09-01-2021-1828 - BK virus polyomavirus family. immunosuppressed immunocompromised 1971

 The BK virus is a member of the polyomavirus family. Past infection with the BK virus is widespread,[1] but significant consequences of infection are uncommon, with the exception of the immunocompromised and the immunosuppressed. BK virus is an abbreviation of the name of the first patient whom the virus was isolated from in 1971 (the patient was then 29 years old).

BK virus
Polyomavirus.jpg
Micrograph showing a polyomavirus infected cell — large (blue) cell below-center-left. Urine cytology specimen.
SpecialtyInfectious disease

The BK virus rarely causes disease but is typically associated with patients who have had a kidney transplant; many people who are infected with this virus are asymptomatic. If symptoms do appear, they tend to be mild: respiratory infection or fever. These are known as primary BK infections. Although without any clinical symptoms, footprints of BK virus have been detected in specimens from females affected by spontaneous abortion.[2]Serum antibodies against BK virus have also been found in spontaneous abortion affected women as well as in women who underwent voluntary interruption of pregnancy.[3]

The virus then disseminates to the kidneys and urinary tract where it persists for the life of the individual. It is thought that up to 80% of the population contains a latent form of this virus, which remains latent until the body undergoes some form of immunosuppression. Typically, this is in the setting of kidney transplantation or multi-organ transplantation.[4] Presentation in these immunocompromised individuals is much more severe. Clinical manifestations include renal dysfunction (seen by a progressive rise in serum creatinine), and an abnormal urinalysis revealing renal tubular cells and inflammatory cells.

https://en.wikipedia.org/wiki/BK_virus

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