L Cabrejo1, M Diop, A Blohorn-Sense, B Mihout. 1. Département de Neurologie, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France. luciecabrejo@hotmail.com
Abstract
INTRODUCTION: BK virus has been described previously in renal transplant patients, but has also been reported in cases of progressive multifocal leukoencephalopathy. METHOD: A case of progressive BK virus multifocal leukoencephalopathy induced by long-term corticosteroid therapy is reported. RESULTS: In our case, BK virus was detected in cerebrospinal fluid by polymerase chain reaction (PCR). A detailed review of similar cases in the literature showed most of them occurred in AIDS patients, but four involved immunocompetent patients. CONCLUSION: Though BK virus infection usually leads to urinary tract symptoms in immunologically suppressed patients, it is important to be aware of its neurological manifestations and to recognize BK infections that can occur in immunocompetent patients.
INTRODUCTION:BK virus has been described previously in renal transplant patients, but has also been reported in cases of progressive multifocal leukoencephalopathy. METHOD: A case of progressive BK virus multifocal leukoencephalopathy induced by long-term corticosteroid therapy is reported. RESULTS: In our case, BK virus was detected in cerebrospinal fluid by polymerase chain reaction (PCR). A detailed review of similar cases in the literature showed most of them occurred in AIDSpatients, but four involved immunocompetent patients. CONCLUSION: Though BK virus infection usually leads to urinary tract symptoms in immunologically suppressed patients, it is important to be aware of its neurological manifestations and to recognize BK infections that can occur in immunocompetent patients.
Authors: Armine Darbinyan; Eugene O Major; Susan Morgello; Steven Holland; Caroline Ryschkewitsch; Maria Chiara Monaco; Thomas P Naidich; Joshua Bederson; Joanna Malaczynska; Fei Ye; Ronald Gordon; Charlotte Cunningham-Rundles; Mary Fowkes; Nadejda M Tsankova Journal: Acta Neuropathol Commun Date: 2016-07-13 Impact factor: 7.801