ACUTE HEMORRHAGIC CYSTITIS CAUSED BY ADENOVIRUS AFTER KIDNEY-TRANSPLANTATION

被引:23
作者
YAGISAWA, T
NAKADA, T
TAKAHASHI, K
TOMA, H
OTA, K
YAGUCHI, H
机构
[1] Department of Urology, Yamagata University School of Medicine, Yamagata
[2] Kidney Center, Tokyo Women’s Medical College, Tokyo
关键词
HEMORRHAGIC CYSTITIS; ADENOVIRUS TYPE 11 INFECTION; KIDNEY IMPAIRMENT; REJECTION; KIDNEY; KIDNEY TRANSPLANTATION;
D O I
10.1159/000282708
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report on 10 kidney transplant patients with acute hemorrhagic cystitis caused by adenovirus, accompanied by the deterioration of kidney function. They developed macrohematuria with urgency, frequency and micturition pain for more than 7 days within 1 year after transplantation. Adenovirus type 1 1 was isolated from the urine of 6 patients, and complement-fixing antibody became positive in 9 patients. Hematuria and irritative voiding symptoms disappeared without any specific treatment; however, serum creatinine rapidly increased. The histological findings of the biopsy specimens indicated that renal impairment was attributed to acute rejection in some cases and virus-associated nephropathy in other cases. Acute hemorrhagic cystitis caused by adenovirus is an interesting complication after kidney transplantation, especially with regard to kidney impairment and treatment.
引用
收藏
页码:142 / 146
页数:5
相关论文
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