Kidney retransplantation for BK virus nephropathy with active viremia without allograft nephrectomy

Jingbo Huang, Gabriel Danovitch, Phuong Thu Pham, Suphamai Bunnapradist, Edmund Huang

Research output: Contribution to journalArticlepeer-review

Abstract

BK virus nephropathy is an important cause of kidney allograft failure. Retransplantation has been successfully performed for patients with previous allograft loss due to BK virus nephropathy; however, whether allograft nephrectomy and viral clearance are required prior to retransplantation is controversial. Some recent studies have suggested that retransplantion can be successfully achieved without allograft nephrectomy if viremia is cleared prior to retransplant. The only published experience of successful retransplantation in the presence of active viremia occurred in the presence of concomitant allograft nephrectomy of the failing kidney. In this report, we describe a case of successful repeat kidney transplant in a patient with high-grade BK viremia and fulminant hepatic failure without concomitant allograft nephrectomy performed under the setting of a simultaneous liver-kidney transplant.

Original languageEnglish (US)
Pages (from-to)773-777
Number of pages5
JournalJournal of Nephrology
Volume28
Issue number6
DOIs
StatePublished - Dec 1 2015

Keywords

  • Active BK viremia
  • Allograft nephrectomy
  • BK virus nephropathy
  • Retransplantation

ASJC Scopus subject areas

  • Nephrology

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