2 (11%) |
0 (0%) |
0 (0%) |
7 (38%) |
3 (16%) |
6 (33%) |
0 (0% |
Tough question! Well, few are obvious but some are historical and one is incorrect.
Parvovirus B19 and collapsing FSGS or collapsing Glomeurlopathy(CG) has been reported now by many groups. Initially we thought that all cases of CG were idiopathic but parvovirus has been implicated in causes of CG in both non transplant and post transplant world.
BK Virus traditionally causes an interstitial tubular disease. We know about that virus from our transplant experience and lately we are seeing cases of BK nephritis and BK cystitis in the Bone marrow transplant world as well.
Hanta virus, usually associated with systemic hemorrhage and even interstitial renal hemorrhage can also cause acute interstitial nephritis.
Measles, is a tough one. It has been associated with acute interstitial nephritis like most viruses are but there is an historical association with nephrotic syndrome as well. Check out some references below.
Adenovirus is not been reported to cause a CG so far. It has a more aggressive variant of acute interstitial nephritis, a necrotic variant usually. Other viruses that are associated with CG are more of the Hepatitis, CMV and HIV/HTLV family of course.
HEP C is usually associated with MPGN , But IgA, post infectious, Membranous, Immunotactoid and Fibrillary GN has been reported as well
HEP B is usually Membranous GN but mesangioproliferative, MPGN, FSGS, and vasculitis has been reported.
CMV is usually AIN but also CG and TMA
Mumps, and Dengue have been associated with acute interstitial nephritis
Some nice references for general viral nephropathies and the above mentioned discussion.
http://www.ncbi.nlm.nih.gov/pubmed/18121037
http://www.ncbi.nlm.nih.gov/pubmed/20288668
http://www.ncbi.nlm.nih.gov/pubmed/15393437
http://www.ncbi.nlm.nih.gov/pubmed/16705026
http://www.ncbi.nlm.nih.gov/pubmed/11380814
http://www.ncbi.nlm.nih.gov/pubmed/12455712
http://www.ncbi.nlm.nih.gov/pubmed/15648164
No comments:
Post a Comment