JCV, BKV, Polyomaviruses

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Review

JC virus BK virus
  • Human polyomavirus 2 = JC virus = John Cunningham virus, is a type of human polyomavirus
  • The virus causes PML and other diseases only in cases of immunodeficiency
  • The initial site of infection may be the tonsils, or possibly GI tract.
  • It can also infect the tubular epithelial cells in the kidneys. Recent studies suggest that this virus may latently infect the human semen as well as the chorionic villi tissues.
  • Granule cell layer neuronopathy: It has been found to infect the granule cell layer of the cerebellum, while sparing purkinje fibers, ultimately causing severe cerebellar atrophy.
  • Encephalopathy
  • Aseptic meningitis
  • BK virus rarely causes disease but is typically associated with patients who have had a kidney transplant
  • Many patients are asymptomatic.
  • Spontaneous abortion
  • Renal dysfunction (Progressive rise in serum creatinine), + Abnormal urinalysis revealing renal tubular cells and inflammatory cells.


Entities

  • Brain tumor: Hemiparesis. Quadriparesis. Muscular Weakness, Convulsions Cranial nerve deficits (Visual field deficits. Blindness.) Sensory deficits. Ataxia
  • Encephalopathy; PML (Progressive multifocal leukoencephalopathy): Dullness. Weakness of memory. Aphasia. Impaired cognition. Dementia. Coma. Sleeplessness
  • Tonsillitis
  • Acute hemorrhagic Cystitis
  • Tubulo-interstitial Nephritis: Anasarca
  • Nephropathy. Ureter; stenosis, ulceration. Renal failure.
  • Myocardial infarction.
  • Systemic vasculopathy
  • Lymphoma. Leukemia: Lymphopenia. Monocytosis


Remedies

  1. Plb
  2. Bov, Alum, Nux-v, Lach, Caust, Arg-n, Phos, Bell