BK virus-induced tubulointerstitial nephritis in a child with acute lymphoblastic leukemia

J Pediatr. 2007 Aug;151(2):215-7. doi: 10.1016/j.jpeds.2007.05.005.

Abstract

We report a case of BK virus-induced tubulointerstitial nephritis in a child with acute lymphoblastic leukemia. Primary BK virus infection was exacerbated by chemotherapy-induced immunodeficiency. Careful administration of chemotherapy and anti-viral therapy prevented further damage. This diagnosis should be considered in children who experience renal dysfunction during cancer treatment.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Antiviral Agents / therapeutic use
  • BK Virus / isolation & purification*
  • Biopsy, Needle
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Immunohistochemistry
  • Kidney Function Tests
  • Nephritis, Interstitial / complications
  • Nephritis, Interstitial / drug therapy
  • Nephritis, Interstitial / virology*
  • Polyomavirus Infections / complications
  • Polyomavirus Infections / diagnosis*
  • Polyomavirus Infections / therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / diagnosis*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy
  • Risk Assessment
  • Treatment Outcome
  • Tumor Virus Infections / complications
  • Tumor Virus Infections / diagnosis*
  • Tumor Virus Infections / therapy

Substances

  • Antiviral Agents