Decreased Viral Load and Symptoms of Polyomavirus-Associated Chronic Interstitial Cystitis after Intravesical Cidofovir Treatment

被引:18
作者
Eisen, Damon P. [1 ]
Fraser, Ian R. [2 ]
Sung, Linda M. [2 ]
Finlay, Moira
Bowden, Scott [4 ]
O'Connell, Helen [3 ]
机构
[1] Royal Melbourne Hosp, Victorian Infect Dis Serv, Parkville, Vic 3050, Australia
[2] Royal Melbourne Hosp, Dept Internal Med, Parkville, Vic 3050, Australia
[3] Royal Melbourne Hosp, Dept Urol, Parkville, Vic 3050, Australia
[4] Victorian Infect Dis Reference Lab, Melbourne, Vic, Australia
关键词
HEMORRHAGIC CYSTITIS; BK-VIRUS; URINARY-EXCRETION; INSTILLATION; LEFLUNOMIDE; TRANSPLANT; RECIPIENTS;
D O I
10.1086/597827
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Interstitial cystitis causes disabling bladder pain and is usually diagnosed in the absence of infection. We describe a patient with interstitial cystitis who had high urinary levels of polyomavirus that decreased dramatically after initiation of intravesical cidofovir treatment; the patient also showed substantial improvement in symptoms. Another patient had milder symptoms of cystitis and intermittent polyomavirus shedding. Polyomaviruses, particularly BK virus, may cause some cases of interstitial cystitis.
引用
收藏
页码:E86 / E88
页数:3
相关论文
共 12 条
[1]   ASSOCIATION OF BK VIRURIA WITH HEMORRHAGIC CYSTITIS IN RECIPIENTS OF BONE-MARROW TRANSPLANTS [J].
ARTHUR, RR ;
SHAH, KV ;
BAUST, SJ ;
SANTOS, GW ;
SARAL, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (04) :230-234
[2]   Cidofovir bladder instillation for the treatment of BK hemorrhagic cystitis after allogeneic stem cell transplantation [J].
Bridges, Benjamin ;
Donegan, Sarah ;
Badros, Ashraf .
AMERICAN JOURNAL OF HEMATOLOGY, 2006, 81 (07) :535-537
[3]   Intravesical instillation of cidofovir in the treatment of hemorrhagic cystitis caused by adenovirus type II in a bone marrow transplant recipient [J].
Fanourgiakis, P ;
Georgala, A ;
Vekemans, M ;
Triffet, A ;
De Bruyn, JM ;
Duchateau, V ;
Martiat, P ;
De Clercq, E ;
Snoeck, R ;
Wollants, E ;
Rector, A ;
Van Ranst, M ;
Aoun, M .
CLINICAL INFECTIOUS DISEASES, 2005, 40 (01) :199-201
[4]   Effect of leflunomide and cidofovir on replication of BK-virus in an in vitro culture system [J].
Farasati, NA ;
Shapiro, R ;
Vats, A ;
Randhawa, P .
TRANSPLANTATION, 2005, 79 (01) :116-118
[5]   Dysfunction of bladder urothelium and bladder urothelial cells in interstitial cystitis [J].
Graham E. ;
Chai T.C. .
Current Urology Reports, 2006, 7 (6) :440-446
[6]   Polyomavirus BK [J].
Hirsch, HH ;
Steiger, J .
LANCET INFECTIOUS DISEASES, 2003, 3 (10) :611-623
[7]  
PADGETT BL, 1983, LANCET, V1, P770
[8]   Prevalence and patterns of polyomavirus urinary excretion in immunocompetent adults and children [J].
Polo, C ;
Pérez, JL ;
Mielnichuck, A ;
Fedele, CG ;
Niubò, J ;
Tenorio, A .
CLINICAL MICROBIOLOGY AND INFECTION, 2004, 10 (07) :640-644
[9]   DIAGNOSIS OF CHILDHOOD BK VIRUS CYSTITIS BY ELECTRON-MICROSCOPY AND PCR [J].
SAITOH, K ;
SUGAE, N ;
KOIKE, N ;
AKIYAMA, Y ;
IWAMURA, Y ;
KIMURA, H .
JOURNAL OF CLINICAL PATHOLOGY, 1993, 46 (08) :773-775
[10]   Low-dose cidofovir treatment of BK virus-associated hemorrhagic cystitis in recipients of hematopoietic stem cell transplant [J].
Savona, M. R. ;
Newton, D. ;
Frame, D. ;
Levine, J. E. ;
Mineishi, S. ;
Kaul, D. R. .
BONE MARROW TRANSPLANTATION, 2007, 39 (12) :783-787