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Prolonged KI Polyomavirus Infection in Immunodeficient Child

机译:免疫缺陷儿童长期KI多瘤病毒感染

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To the Editor: Two novel polyomaviruses (PyVs), KIPyV and WUPyV, were identifi ed in respiratory and fecal specimens from children with signs and symptoms of respiratory tract infection (1,2). A review of literature on emerging viruses in transplant recipients indicated that up to 80% of patients harboring these PyVs are co-infected with another respiratory virus, complicating interpretation of positive fi ndings (3). Seroprevalence of KIPyV and WUPyV in healthy blood donors in Germany have been reported to be 67% and 89%, respectively (4).The effect of these viruses in immunocompromised patients is unknown. Some studies report a higher frequency of KIPyV DNA detection in hematopoietic stem cell transplant (HSCT) recipients (5–7) than in immunocompetent patients. In fact, HCST recipients might be more prone to productive infection with KIPyV and WUPyV than to infection with PyVs JC and BK (BKPyV) (5).We report prolonged detection of KIPyV DNA in the respiratory tract of an immunocompromised child. A 12-year-old girl with severe combined immunodefi ciency was admitted to the Freiburg University Medical Center, Germany, in November 2009 for treatment of progressive respiratory problems and cytomegalovirus (CMV) disease. Although the molecular basis of the immune disorder was unknown, HSCT was indicated because of uncontrolled CMV infection and progressive clinical deterioration
机译:致编辑:在患有呼吸道感染症状和体征的儿童的呼吸道和粪便标本中鉴定出两种新的多瘤病毒(PyVs),即KIPyV和WUPyV(1,2)。对移植受者中出现的新病毒的文献的回顾表明,高达80%的携带这些PyV的患者与另一种呼吸道病毒共同感染,使对阳性结果的解释变得复杂(3)。据报道,德国健康献血者中KIPyV和WUPyV的血清阳性率分别为67%和89%(4)。这些病毒对免疫功能低下患者的影响尚不清楚。一些研究报告说,造血干细胞移植(HSCT)接受者(5-7)的KIPyV DNA检测频率高于免疫功能正常的患者。实际上,HCST接受者可能更容易受到KIPyV和WUPyV的生产性感染,而不是PyVs JC和BK(BKPyV)的感染(5)。我们报告说,在免疫受损儿童的呼吸道中检测到KIPyV DNA的时间较长。一名患有严重综合免疫缺陷的12岁女孩于2009年11月被收治于德国弗赖堡大学医学中心,用于治疗进行性呼吸道疾病和巨细胞病毒(CMV)疾病。尽管尚不清楚免疫障碍的分子基础,但由于不受控制的CMV感染和进行性临床恶化,仍提示使用HSCT

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