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联合免疫缺陷患者中马尾神经受累与BK病毒有关吗?

Is Cauda Equina Involvement Related to BK Virus in Patients with Combined Immunodeficiency?

作者信息

Sonmez Gamze, Kalaycı Fatma Naz Cemre, Gocmen Rahsan, Ozsurekcı Yasemin, Cagdas Deniz

机构信息

Hacettepe University Faculty of Medicine, Ankara, Turkey.

Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Indian J Radiol Imaging. 2025 Feb 13;35(3):474-480. doi: 10.1055/s-0045-1802329. eCollection 2025 Jul.

DOI:10.1055/s-0045-1802329
PMID:40529964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169930/
Abstract

The BK virus, an unenveloped double-stranded DNA virus, infects up to 90% of the population, The virus often remains dormant but can reactivate and cause illness under conditions of impaired cellular immunity. It can cause progressive multifocal leukoencephalopathy and has been implicated in a variety of conditions, including encephalitis, nephritis, cystitis, and retinitis. This report explores neurological symptoms linked to the BK virus, focusing on its potential role in spinal cord pathology in patients with combined immunodeficiency by presenting and analyzing two distinct case studies. Although not commonly associated with neurological disorders, there are rarely reports of BK virus involvement in central nervous system diseases.

摘要

BK病毒是一种无包膜的双链DNA病毒,感染率高达90%的人群。该病毒通常处于潜伏状态,但在细胞免疫受损的情况下可能重新激活并引发疾病。它可导致进行性多灶性白质脑病,并与多种病症有关,包括脑炎、肾炎、膀胱炎和视网膜炎。本报告通过呈现和分析两个不同的病例研究,探讨与BK病毒相关的神经症状,重点关注其在联合免疫缺陷患者脊髓病变中的潜在作用。虽然BK病毒通常与神经疾病无关,但很少有关于其累及中枢神经系统疾病的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1cc/12169930/cf2747867f0c/10-1055-s-0045-1802329-i24104162-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1cc/12169930/31c1447b2c02/10-1055-s-0045-1802329-i24104162-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1cc/12169930/cf2747867f0c/10-1055-s-0045-1802329-i24104162-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1cc/12169930/31c1447b2c02/10-1055-s-0045-1802329-i24104162-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1cc/12169930/cf2747867f0c/10-1055-s-0045-1802329-i24104162-2.jpg

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本文引用的文献

1
Myelitis Following COVID-19 Illness.新型冠状病毒肺炎(COVID-19)感染后的脊髓炎
Cureus. 2022 Aug 18;14(8):e28134. doi: 10.7759/cureus.28134. eCollection 2022 Aug.
2
Acute Inflammatory Demyelinating Polyneuropathy With Bowel and Bladder Incontinence Following COVID-19 Infection.新型冠状病毒肺炎感染后伴大小便失禁的急性炎性脱髓鞘性多发性神经病
Cureus. 2021 Sep 11;13(9):e17896. doi: 10.7759/cureus.17896. eCollection 2021 Sep.
3
BK polyomavirus associated progressive multifocal leukoencephalopathy in a person living with HIV.一名艾滋病患者发生的BK多瘤病毒相关进行性多灶性白质脑病
Brain Behav Immun Health. 2021 May 5;15:100263. doi: 10.1016/j.bbih.2021.100263. eCollection 2021 Aug.
4
BK-virus progressive multifocal leukoencephalitis in a patient with systemic lupus erythematosus.一名系统性红斑狼疮患者并发BK病毒进行性多灶性白质脑病。
Neurol Sci. 2018 Sep;39(9):1613-1615. doi: 10.1007/s10072-018-3413-3. Epub 2018 Apr 28.
5
BK virus-induced acute motor-axonal polyneuropathy in a renal transplant patient.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。
CEN Case Rep. 2016 May;5(1):1-4. doi: 10.1007/s13730-015-0179-9. Epub 2015 Apr 19.
6
BK virus encephalopathy and sclerosing vasculopathy in a patient with hypohidrotic ectodermal dysplasia and immunodeficiency.伴有少汗型外胚层发育不良和免疫缺陷的患者的 BK 病毒脑炎和硬化性血管病。
Acta Neuropathol Commun. 2016 Jul 13;4(1):73. doi: 10.1186/s40478-016-0342-3.
7
BK virus-associated progressive multifocal leukoencephalopathy.BK病毒相关的进行性多灶性白质脑病
Med J Aust. 2013 Mar 4;198(4):216-8. doi: 10.5694/mja12.10072.
8
Polyoma BK virus: an emerging opportunistic infectious agent of the human central nervous system.多瘤 BK 病毒:人类中枢神经系统的新兴机会性感染病原体。
Braz J Infect Dis. 2011 May-Jun;15(3):276-84. doi: 10.1016/s1413-8670(11)70189-1.
9
Hemorrhagic cystitis and possible neurologic disease from BK virus infection in a patient with AIDS.艾滋病患者因 BK 病毒感染引起的出血性膀胱炎和可能的神经疾病。
Infection. 2010 Apr;38(2):124-7. doi: 10.1007/s15010-009-9201-5. Epub 2010 Mar 2.
10
Progressive multifocal leukoencephalopathy showing extensive spinal cord involvement in a patient with lymphocytopenia.进展性多灶性白质脑病患者出现广泛的脊髓受累,伴有淋巴细胞减少症。
Neuropathology. 2009 Aug;29(4):485-93. doi: 10.1111/j.1440-1789.2008.00981.x. Epub 2008 Nov 19.