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肾移植后细小病毒感染相关贫血

Parvovirus Infection-Related Anemia after Kidney Transplantation.

作者信息

Sharma Neeraj, Bajwa Ranvir

机构信息

University of Southern California, Department of Medicine, Division of Nephrology, Los Angeles, California, USA.

Keck School of Medicine of USC, 1975 Zonal Ave., Los Angeles, CA 90033, USA.

出版信息

Case Rep Transplant. 2020 Jan 31;2020:6437392. doi: 10.1155/2020/6437392. eCollection 2020.

Abstract

Anemia postkidney transplantation is an important issue which has been correlated with increased hospitalizations and higher mortality. Infections, including those due to parvovirus B19, CMV, and BK virus (polyomavirus), have also been associated with an increased risk of anemia. Here, we present a case of new-onset anemia in a kidney transplant recipient within 3 months of transplant. The patient was found to have multiple viral infections from parvo B19, BK virus, and rhinovirus. The anemia resolved completely after successful reduction in the parvo B19 and BK viral load. Workup for viral infections must be considered in the differential diagnosis of postkidney transplant anemia.

摘要

肾移植后贫血是一个重要问题,它与住院次数增加和死亡率升高相关。感染,包括由细小病毒B19、巨细胞病毒和BK病毒(多瘤病毒)引起的感染,也与贫血风险增加有关。在此,我们报告一例肾移植受者在移植后3个月内出现新发贫血的病例。该患者被发现感染了多种病毒,包括细小病毒B19、BK病毒和鼻病毒。在成功降低细小病毒B19和BK病毒载量后,贫血完全缓解。在肾移植后贫血的鉴别诊断中,必须考虑对病毒感染进行检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c54/7013336/1b545553dc13/CRIT2020-6437392.001.jpg

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