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- Title
Infection and chronic allograft dysfunction.
- Authors
Dupont, Peter J.; Manuel, Oriol; Pascual, Manuel
- Abstract
With the advent of more potent immunosuppressive regimens, the incidence of acute rejection following renal transplantation has declined sharply in recent years. In spite of this, long-term graft outcomes remain suboptimal because of relentless attrition by cumulated insults to the allograft. As acute rejection rates have declined, other causes of graft injury and loss have recently emerged. Among these, infectious diseases remain a persistent threat and can be associated with allograft dysfunction. This group includes nephropathy due to polyoma (BK) virus infection, cytomegalovirus disease, and bacterial infection (the latter most commonly arising from the urinary tract). Rarer infectious causes of chronic allograft dysfunction include cryoglobulinemia associated with hepatitis C, Epstein-Barr virus-associated posttransplant lymphoproliferative disease, and direct cytotoxicity from adenoviral infection or parvovirus B19.
- Subjects
CYTOMEGALOVIRUS diseases; BACTERIAL diseases; KIDNEY diseases; LIVER diseases; HEPATITIS C
- Publication
Kidney International Supplement, 2010, Vol 78, pS47
- ISSN
0098-6577
- Publication type
Article
- DOI
10.1038/ki.2010.423