Late allograft dysfunction secondary to BKV ureteritis in renal transplantation – Can modification of immunosuppression and ureteral stenting be the savior: Case report

Publication date: July–September 2016 Source:Indian Journal of Transplantation, Volume 10, Issue 3 Author(s): Hira Lal, Anupma Kaul, Dharmendra Bhaduaria, R.K. Sharma, Manas R. Patel, Tushant Kumar, A. Srivastava Ureteritis due to human polyoma BK virus (BKV) is an emerging complication among renal transplant recipients mimicking rejection. The current mainstay of intervention is to reduce the immunosuppressive maintenance therapy. There is dilemma in management regarding surgical interventions like stenting besides reducing immunosuppression. The present case report highlights the successful management of BKV ureteritis with modification of immunosuppression and Double J stenting. A combination of immunosuppression modification and DJ stenting can help long-term graft outcome in patients with BKV ureteritis.
Source: Indian Journal of Transplantation - Category: Transplant Surgery Source Type: research