TABLE 1.
Patienta | Time (mo) after RT | Viral load (no. of copies per ml)b
|
Plasma creatinine level (mg/dl) | Biopsy reportd | |
---|---|---|---|---|---|
Urine | Blood | ||||
A (M, 53) | 3 | 2.37 × 105 | 1.26× 105 | 1.8 | Suspicion of rejection (tubular interstitial nephritis, tubular atrophy); suspicion of viral infection (visible inclusion bodies, infiltrate in medulla) |
8 | 8.02 × 106 | 1.73 × 105 | 2.7 | ||
B (M, 74y | 10 | 3.95 × 107 | 2.48 × 105 | 3.2 | Viral infection (tubular changes with focal tubular atrophy, inclusion bodies with viral particles [determined by electron microscopy]) |
C (M, 60) | 24 | 3.13 × 108 | 5.46 × 105 | 6.1 | Viral infection (decoy cells in urine, infiltrate in medulla); tubular changes (medula and glomerulus, BKV-positive inclusion bodies) |
29 | 3.57 × 108 | 1.02 × 106 | 7.5 | ||
34 | 4.14 × 108 | 1.64 × 106 | 7.8 | ||
D (F, 14) | 84 | 4.67 × 108 | 5.34 × 106 | 7.8 | No concurrent biopsy available |
E (F, 55)c | 3 | 1.65 × 104 | 1.1 | Support (virus-associated chronic tubulointerstitial nephritis); mild acute cellular rejection; grade 1A focal proliferative glomerulonephritis; focal atrophy of tubules; hyperchromasia of nuclei | |
13 | 1.69 × 105 | 1.6 | |||
16 | 3.06 × 108 | 6.1 | |||
2/51e | 3.60 × 107 | 2.1 | |||
F (M, 52) | 2 | 2.70 × 109 | Below detection | 8.5 | Acute tubular necrosis |
The information in parentheses represents the patient's sex (F, female; M, male), the patient's age (in years) at the time of the first RT.
Viral loads (number of copies per ml) were determined by qPCR. Titers in boldface indicate loads near or above the PVAN-predictive thresholds for urine and plasma (19, 35).
No concurrent plasma samples were available for patient E.
Biopsy report from a renal biopsy taken at the time of the first patient sample. All of the text refers to that biopsy.
2/51, 51 months after the first transplant and 2 months after the second transplant.