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Darian promised the disfigured trap in August. Para compartir esta historia, elija cualquier plataforma. Acerca del autor:. Potential future preventative and therapeutic options, such as modulation of conditioning, immunosuppression and engraftment, new antiviral and anti-inflammatory and less nephrotoxic agents need to be assessed.
Urological management medical and surgical of BK-virus. BK virus encephalopathy and sclerosing vasculopathy in a patient with hypohidrotic ectodermal dysplasia and immunodeficiency. Human BK polyomavirus BKV is reactivated under conditions of immunosuppression leading most commonly to nephropathy or cystitis; its tropism for the brain is rare and poorly understood.
Brain biopsy demonstrated polyomavirus infection of gray and white matter, with predominant involvement of cortex and distinct neuronal tropism, in addition to limited demyelination and oligodendroglial inclusions. Immunohistochemistry demonstrated polyoma T-antigen in neurons and glia, but expression of VP1 capsid protein only in glia.
Neuropathological analysis also demonstrated an unusual form of obliterative fibrosing vasculopathy in the subcortical white matter with abnormal lysosomal accumulations, possibly related to the patient's underlying ectodermal dysplasia.
Our report provides the first neuropathological description of HED-ID due to NEMO mutation, and expands the diversity of neurological presentations of BKV infection in brain, underscoring the importance of its consideration in immunodeficient patients with unexplained encephalopathy. Alchemy: A web 2. Low and consistent TATs are of great clinical and regulatory importance, especially for molecular virology tests. Laboratory information systems LISs contain all the data elements necessary to do accurate quality assurance QA reporting of TAT and other measures, but these reports are in most cases still performed manually: a time-consuming and error-prone task.
The aim of this study was to develop a web-based real-time QA platform that would automate QA reporting in the molecular diagnostics laboratory at our institution, and minimize the time expended in preparing these reports. Alchemy allowed the user to select a specific timeframe to be analyzed and calculated key QA statistics in real-time, including the average TAT in days, tests falling outside the expected TAT ranges, and test result ranges.
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With Alchemy, that time has decreased to 15 min total per month. Alchemy allowed the user to select specific periods of time and analyzed the TAT data in-depth without the need of extensive manual calculations. Conclusions: Alchemy has significantly decreased the time and the human error associated with QA report generation in our molecular diagnostics laboratory.
Other tests will be added to this web-based platform in future updates. This effort shows the utility of informatician. Alchemy: A Web 2. The molecular diagnostics laboratory faces the challenge of improving test turnaround time TAT. Alchemy has significantly decreased the time and the human error associated with QA report generation in our molecular diagnostics laboratory. BKPyV causes polyomavirus-associated nephropathy and hemorrhagic cystitis, whereas JCPyV is the causative agent of the fatal demyelinating disease progressive multifocal leukoencephalopathy.
No effective therapies targeting these viruses are currently available. Cytomegalovirus and BK-Virus co-infection of a clinically non-functioning adrenal adenoma: innocent bystanders or new pathogenetic agents? We report a case of a year-old woman who underwent left adrenalectomy with removal of a 8,5 cm clinically non-functioning adrenocortical adenoma and a 4-cm myelolipoma.
Molecular testing for viral infection demonstrated the presence of cytomegalovirus CMV DNA sequences in the adrenal adenoma, but not in the myelolipoma confirmed by immunohistochemistry. The role of these viruses in adrenal tumorigenesis was postulated. Full Text Available We report a case of a year-old woman who underwent left adrenalectomy with removal of a 8,5 cm clinically non-functioning adrenocortical adenoma and a 4-cm myelolipoma. Results: Hemorrhagic cystitis HC was observed in 30 patients The median age of the patients 12 males and 6 females was 45 years range, The donor types were a HLA-matched sibling donor for 6 patients, HLA-matched unrelated donor for 9, and a haploidentical familial donor for 2.
The median onset and duration of BKV-HC was on day 21 range, after transplantation and 22 days range, Eleven patients The median duration from the start of leflunomide therapy to response was 13 days range, 8—17 days. All patients tolerated the leflunomide treatment well, with three patients having mild gastrointestinal symptoms, including anorexia and abdominal bloating.
In high-grade BKV-HC patients who fail supportive care, leflunomide may be a feasible option without significant toxicity. Purpose Improvement of cure rates for patients treated with allogeneic hematopoietic stem-cell transplantation HSCT will require efforts to decrease treatment-related mortality from severe viral infections. Adoptively transferred virus -specific T cells VSTs generated from eligible, third-party donors could provide broad antiviral protection to recipients of HSCT as an immediately available off-the-shelf product.
Clinical benefit was achieved in 31 patients treated for one infection and in seven patients treated for multiple coincident infections. Thirteen of 14 patients treated for BKV-associated hemorrhagic cystitis experienced complete resolution of gross hematuria by week 6. Infusions were safe, and only two occurrences of de novo graft-versus host disease grade 1 were observed. VST tracking by epitope profiling revealed persistence of functional VSTs of third-party origin for up to 12 weeks. Conclusion The use of banked VSTs is a feasible, safe, and effective approach to treat severe and drug-refractory infections after HSCT, including infections from two viruses BKV and HHV-6 that had never been targeted previously with an off-the-shelf product.
Furthermore, the multispecificity of the VSTs ensures extensive antiviral coverage, which facilitates the treatment of patients with multiple infections. Phylogenetic reconstruction and polymorphism analysis of BK virus VP2 gene isolated from renal transplant recipients in China. BK polyomavirus BKV is important pathogen for kidney transplant recipients, as it is frequently re-activated, leading to nephropathy. The aim of this study was to investigate the phylogenetic reconstruction and polymorphism of the VP2 gene in BKV isolated from Chinese kidney transplant recipients.
The unweighted pair-group method with arithmetic mean UPGMA grouped all strains into subtypes, but failed to subdivide strains into subgroups. A bp fragment was identified as a highly conserved sequence. Following alignment with 36 published BKV sequences from China, 92 sites of polymorphism were identified, including 11 single nucleotide polymorphisms SNPs prevalent in Chinese individuals and 30 SNPs that were specific to the two predominant subtypes I and IV.
The limitations of the VP2 gene segment in subgrouping were confirmed by phylogenetic analysis. The conserved sequence and polymorphism identified in this study may be helpful in the detection and genotyping of BKV. Full Text Available Background. BKV agnoprotein is abundantly expressed late in the viral life cycle, but specific cellular and humoral immune responses are low or absent. Effects of agnoprotein on viral peptide-dependent T-cell killing were investigated using 51Cr release.
Despite its importance, aspects of the virus life cycle remain poorly understood.
In addition to the structural proteins, the late region of the BK genome encodes for an auxiliary protein called agnoprotein. Studies on other polyomavirus agnoproteins have suggested that the protein may contribute to virion infectivity. Here, we demonstrate an essential role for agnoprotein in BK virus release. Viruses lacking agnoprotein fail to release from host cells and do not propagate to wild-type levels.
Despite this, agnoprotein is not essential for virion infectivity or morphogenesis. Instead, agnoprotein expression correlates with nuclear egress of BK virions. These data highlight a novel role for agnoprotein and begin to reveal the mechanism by which polyomaviruses leave an infected cell.
Full Text Available La nefropatia por polyoma virus NVBK esta siendo reconocida como causa importante de falla del injerto, usualmente confundido con rechazo agudo. Fue tratado como rechazo agudo. La carga viral de virus BK fue elevada en sangre y en orina. Rev Med Hered ; Reactivation of BK polyomavirus in patients with multiple sclerosis receiving natalizumab therapy. Natalizumab therapy in multiple sclerosis has been associated with JC polyomavirus-induced progressive multifocal leucoencephalopathy.
We hypothesized that natalizumab may also lead to reactivation of BK , a related human polyomavirus capable of causing morbidity in immunosuppressed groups. Patients with relapsing remitting multiple sclerosis treated with natalizumab were prospectively monitored for reactivation of BK virus in blood and urine samples, and for evidence of associated renal dysfunction.
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