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一名肾移植患者发生BK病毒诱导的急性运动轴索性多发性神经病。

BK virus-induced acute motor-axonal polyneuropathy in a renal transplant patient.

作者信息

Taskapan Hulya, Kayabas Uner, Otlu Baris, Kamisli Ozden, Yaprak Cisel Yilmaz, Sahin Fatma Terzioglu

机构信息

Department of Nephrology, Turgut Ozal Medical Center, Medical Faculty, Inonu University, Malatya, Turkey.

Department of Infectious Diseases and Clinical Microbiology, Turgut Ozal Medical Center, Medical Faculty, Inonu University, Malatya, Turkey.

出版信息

CEN Case Rep. 2016 May;5(1):1-4. doi: 10.1007/s13730-015-0179-9. Epub 2015 Apr 19.

Abstract

Neurological complications are not uncommon in patients with renal transplantation, mostly affecting the central nervous system, and less frequently the peripheral nerves. BK virus infection is relatively common in transplant recipients and in some cases may lead to neurological complications. In this report, we present an interesting case of a patient who developed acute axonal motor polyneuropathy in the course of BK virus infection 3 months after kidney transplantation. After BK virus clearence in blood, a significant improvement was noted in her polyneuropathy. In patients with acute axonal motor polyneuropathy after transplantation BK virus-induced polyneuropathy should be excluded.

摘要

神经并发症在肾移植患者中并不少见,主要影响中枢神经系统,较少累及周围神经。BK病毒感染在移植受者中相对常见,在某些情况下可能导致神经并发症。在本报告中,我们介绍了一例有趣的病例,一名患者在肾移植3个月后BK病毒感染过程中发生了急性轴索性运动性多神经病。血液中BK病毒清除后,其多神经病有显著改善。对于移植后发生急性轴索性运动性多神经病的患者,应排除BK病毒所致的多神经病。

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