Journal article
Cytomegalovirus Glomerulopathy in a Kidney Allograft With Response to Oral Valganciclovir
American journal of kidney diseases, Vol.52(1), pp.e1-e4
07/2008
DOI: 10.1053/j.ajkd.2008.02.358
PMID: 18468751
Abstract
Cytomegalovirus is an important viral pathogen in the kidney transplant population. Reports of direct cytopathic effects of cytomegalovirus in the kidney allograft are infrequent, with the majority of earlier reports highlighting tubulointerstitial involvement. We report a 58-year-old man who presented with an acute decrease in kidney allograft function 3 months posttransplantation. At presentation, both cytomegalovirus and polyomavirus blood polymerase chain reaction results were positive. Biopsy showed predominant glomerular endothelial involvement by cytomegalovirus with positive immunohistochemistry results. Polyomavirus was not detected in the biopsy specimen. He was treated with oral valganciclovir and a decrease in immunosuppression. He had a complete response, with clearance of viremia and return of allograft function to baseline. Recent reports of glomerular involvement may reflect changing practices in antiviral chemoprophylaxis and immunosuppressive regimen. Oral valganciclovir may have a role in the treatment of patients with mild viremia with tissue-invasive kidney disease.
Details
- Title: Subtitle
- Cytomegalovirus Glomerulopathy in a Kidney Allograft With Response to Oral Valganciclovir
- Creators
- Manish Suneja - Department of Internal Medicine, Nephrology Division, University of Iowa Hospitals and Clinics, Veterans Administration Medical Center, Iowa City, IARamesh Nair - Department of Pathology, University of Iowa Hospitals and Clinics, Veterans Administration Medical Center, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- American journal of kidney diseases, Vol.52(1), pp.e1-e4
- Publisher
- Elsevier Inc
- DOI
- 10.1053/j.ajkd.2008.02.358
- PMID
- 18468751
- ISSN
- 0272-6386
- eISSN
- 1523-6838
- Language
- English
- Date published
- 07/2008
- Academic Unit
- Nephrology; Internal Medicine
- Record Identifier
- 9984094589002771
Metrics
8 Record Views