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BK viremia precedes DSA class II. Histogram of time to detection of (A) BK viremia (median=137.7 days; IQR=95–238), (B) de novo class II DSA (median=356 days; IQR=175–485), and (C) de novo class I DSA (median=344 days; IQR=62–590) in patients with persistent BK viremia. Among patients with persistent viremia who developed de novo class II DSA, BK virus was detected before the DSA in 17.6% of them.
