Nelson Textbook of Pediatrics 22nd Edition | Human polyomaviruses (BKPyV, JCPyV) are ubiquitous, non-enveloped dsDNA viruses. Primary infection occurs in childhood (respiratory route), then latency in kidney/urothelium (BK) and CNS/lymphoid tissue (JC). Immunocompromised hosts: BKPyV β hemorrhagic cystitis (HSCT) and BK virus-associated nephropathy (BKVAN) in renal transplant; JCPyV β progressive multifocal leukoencephalopathy (PML). No specific antiviral; management: reduction of immunosuppression.
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