title: BK Nephritis and Venous Thrombosis in Renal Transplant Recipient Detected by 111In Leukocyte Imaging.
abstract: Three months after deceased donor kidney transplant, a patient who presented with proteinuric renal dysfunction and fever of undetermined origin was found to have BK viruria by quantitative polymerase chain reaction analysis. An ¹¹¹In leukocyte scan showed increased renal transplant uptake consistent with nephritis and linear uptake in the knee. Venous duplex ultrasound revealed acute occlusive thrombosis in the superficial right lesser saphenous vein in the area of increased radiolabeled leukocyte uptake. This ¹¹¹In leukocyte scan performed for fever of undetermined origin demonstrated findings of BK nephritis in a renal transplant patient and associated acute venous thrombosis related to leukocyte colonization.
authors.affiliation: From the Nuclear Medicine Section, Department of Radiology and Imaging, Medical College of Georgia, Georgia Regents University, Augusta, GA.
authors.forename: Darko
authors.initials: D
authors.lastname: Pucar
authors.forename: Kandace
authors.initials: K
authors.lastname: Klein
authors.forename: James
authors.initials: J
authors.lastname: Corley
authors.forename: Hadyn T
authors.initials: HT
authors.lastname: Williams
mesh_terms: D000368:Aged; D001739:BK Virus; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007205:Indium Radioisotopes; D007668:Kidney / Q000000981:diagnostic imaging*; D016030:Kidney Transplantation; D007962:Leukocytes; D009393:Nephritis / Q000150:complications / Q000000981:diagnostic imaging*; D027601:Polyomavirus Infections / Q000150:complications / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012501:Saphenous Vein / Q000000981:diagnostic imaging*; D014412:Tumor Virus Infections / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D007205:Indium Radioisotopes