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Literature review of allograft adenovirus nephritis and a case presenting as mass lesions in a transplanted kidney without symptoms of urinary tract infection or acute kidney injury.
Watanabe, Megumi; Kaneko, Shuzo; Usui, Joichi; Takahashi, Kazuhiro; Kawanishi, Kunio; Takahashi-Kobayashi, Mayumi; Shimizu, Tatsuya; Ishii, Ryota; Tawara, Takashi; Tsunoda, Ryoya; Nagai, Kei; Kawamura, Tetsuya; Fujita, Akiko; Kai, Hirayasu; Morito, Naoki; Saito, Chie; Oda, Tatsuya; Nagata, Michio; Yamagata, Kunihiro.
Afiliación
  • Watanabe M; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Kaneko S; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Usui J; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Takahashi K; Gastroenterological and Hepatobiliary Surgery and Organ Transplantation, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Kawanishi K; Kidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Takahashi-Kobayashi M; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Shimizu T; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Ishii R; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Tawara T; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Tsunoda R; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Nagai K; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Kawamura T; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Fujita A; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Kai H; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Morito N; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Saito C; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Oda T; Gastroenterological and Hepatobiliary Surgery and Organ Transplantation, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Nagata M; Kidney and Vascular Pathology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
  • Yamagata K; Nephrology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Transpl Infect Dis ; 23(2): e13468, 2021 Apr.
Article en En | MEDLINE | ID: mdl-32945064
Adenovirus (AdV) infection is a common complication in bone marrow/hematopoietic stem cell transplant and solid organ transplant recipients. AdV infection usually presents as hemorrhagic cystitis, but sometimes it can progress to acute kidney injury showing AdV nephritis (AdVN). We present the case of a 52-year-old Japanese female who had received a living kidney transplantation (KT) from her husband. At 21 months post-KT, the patient presented with a fever, but no renal dysfunction and no abnormal urine findings. A contrast-enhanced computed tomography (CT) scan revealed a few mass lesions with hypoperfusion in the transplanted kidney. An enhanced CT-guided biopsy targeting one of these lesions revealed a necrotizing tubulointerstitial nephritis suggesting AdVN. The polymerase chain reaction tests for ADV were negative in a urine sample but positive in the sera and the frozen kidney biopsy samples. AdVN can manifest as an unusual pattern of acute lobar nephritis/acute focal bacterial nephritis-like localization without symptoms of acute kidney injury or urinary tract infection. Enhanced CT can provide clues for clinical diagnosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Adenoviridae / Nefritis Tipo de estudio: Diagnostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: Transpl Infect Dis Asunto de la revista: TRANSPLANTE Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Dinamarca
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Adenoviridae / Nefritis Tipo de estudio: Diagnostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: Transpl Infect Dis Asunto de la revista: TRANSPLANTE Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Dinamarca