Kamal Faisal, Ali Bilal, Barnes Matthew, Kamal Sehrish, Nair Satheesh, Gonzalez Humberto
Department of Medicine, University of Tennessee Health Science Center, Memphis, TN.
Department of Transplant Surgery, Methodist University Hospital, Memphis, TN.
ACG Case Rep J. 2017 May 10;4:e67. doi: 10.14309/crj.2017.67. eCollection 2017.
The association between BK virus infection and hemorrhagic cystitis (HC) in hematopoietic stem cell transplant (HSCT) recipients is well established. However, BK virus-associated HC has not been described in liver transplant (LT) recipients. We present a case of BK virus-associated HC in a LT recipient. Our patient presented with worsening liver function tests 2 years after transplantation and was found to have acute cellular rejection. He was treated with increased immunosuppression and subsequently developed hematuria. He was eventually diagnosed with BK virus-associated HC.
造血干细胞移植(HSCT)受者中BK病毒感染与出血性膀胱炎(HC)之间的关联已得到充分证实。然而,肝移植(LT)受者中尚未有BK病毒相关HC的报道。我们报告一例LT受者发生BK病毒相关HC的病例。我们的患者在移植后2年出现肝功能检查恶化,被发现有急性细胞排斥反应。他接受了增加免疫抑制的治疗,随后出现血尿。他最终被诊断为BK病毒相关HC。