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Abstract: Epstein-Barr Virus-Associated Acute Interstitial Nephritis: Infection or Immunologic Phenomenon?

  [ 21 votes ]   [ Discuss This Article ] • September 10, 2002

Nephron 2002 Oct;92(2):437-439  Cataudella JA, Young ID, Iliescu EA.  Queen's University, Kingston, Ont., Canada.

Epstein-Barr virus (EBV) DNA in renal tissue in acute interstitial nephritis (IN) has not been previously reported. An 18-year-old male presented with a sore throat, fever, cervical lymphadenopathy, and oliguric renal failure. The rapid slide test for heterophile antibodies associated with infectious mononucleosis was positive, and a renal biopsy showed an acute interstitial nephritis. A polymerase chain reaction (PCR) assay identified EBV DNA in the renal biopsy. In situ hybridization (ISH) for EBV RNA and immunohistochemistry for latent membrane protein 1 of EBV were negative.

Hemodialysis and prednisone 60 mg PO OD were administered and the s-creatinine dropped from 1,224 to 75 &mgr;mol/l over 9 days. The identification of EBV DNA in the kidney raises the possibility that direct infection plays a role in acute IN associated with EBV.

Copyright 2002 S. Karger AG, Basel
PMID: 12218325 [PubMed - as supplied by publisher]

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