Epstein-Barr virus-associated acute renal failure: Diagnosis, treatment, and follow-up

Jeng D. Tsai, Hung Chang Lee, Chun Chen Lin, Der Cherng Liang, Shu Huey Chen, Fu Yuan Huang

研究成果: 雜誌貢獻文章同行評審

22 引文 斯高帕斯(Scopus)

摘要

We retrospectively reviewed our experience of Epstein-Barr virus (EBV)-associated acute renal failure. Of 165 previously healthy children hospitalized with serologically proven primary EBV infection, 8 had acute renal failure, of whom 5 (group A) did not have virus-associated hemophagocytic syndrome (VAHS), while 3 (group B) did have VAHS. All had complications in four or more organ systems. Two patients in group A had renal biopsies showing acute tubulointerstitial nephritis, and the clinical and laboratory findings in the other 3 group A patients were consistent with acute tubulointerstitial nephritis. Acyclovir was used in 1 patient, but she died of hepatic failure and pulmonary hemorrhage. The other 4 spontaneously recovered renal function after supportive care, including hemodialysis in 1 patient. Our experience does not support the routine use of corticosteroids or antiviral agents in these patients. Children in group B had a relatively normal urinalysis. Renal biopsies were not performed, but their presentations were compatible with acute tubular necrosis. We conclude that EBV should be considered as a possible etiological agent in all children presenting with acute renal failure of unknown cause. The diagnosis depends on a high index of suspicion and careful serological evaluation in atypical cases.

原文英語
頁(從 - 到)667-674
頁數8
期刊Pediatric Nephrology
18
發行號7
出版狀態已發佈 - 七月 1 2003
對外發佈

ASJC Scopus subject areas

  • 腎臟病學
  • 兒科、圍產兒和兒童健康

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