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Low‐dose cidofovir and conversion to mTOR‐based immunosuppression in polyomavirus‐associated nephropathy

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Polyomavirus‐associated nephropathy (PVAN) remains a relevant complication following kidney transplantation with allograft loss rates of up to 50%. Reduction in overall immunosuppression is a cornerstone of therapy, whereas no specific… Click to show full abstract

Polyomavirus‐associated nephropathy (PVAN) remains a relevant complication following kidney transplantation with allograft loss rates of up to 50%. Reduction in overall immunosuppression is a cornerstone of therapy, whereas no specific antiviral regimen has shown conclusive benefit to date. The present case series demonstrates the efficacy of a dual therapeutic approach with low‐dose cidofovir and conversion to mTOR‐based immunosuppression in PVAN.

Keywords: associated nephropathy; low dose; dose cidofovir; polyomavirus associated; cidofovir conversion; immunosuppression

Journal Title: Transplant Infectious Disease
Year Published: 2019

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