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Polyomavirus infection of the urinary tract presenting as hemorrhagic cystitis in an immunocompetent five-year-old boy.

Authors
  • Gonzalez, Jorge L1
  • Balestra, Suellen
  • Schned, Alan R
  • Gutmann, Edward J
  • Tsongalis, Gregory J
  • 1 Department of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756-0001, USA. [email protected] , (Lebanon)
Type
Published Article
Journal
Diagnostic Cytopathology
Publisher
Wiley (John Wiley & Sons)
Publication Date
Jun 01, 2008
Volume
36
Issue
6
Pages
375–378
Identifiers
DOI: 10.1002/dc.20808
PMID: 18478601
Source
Medline
License
Unknown

Abstract

Human polyomavirus infection, which can be detected morphologically on Pap-stained routine urine cytology specimens, is most commonly encountered in immunocompromised patients and is a well-described complication of renal transplantation. We present a case of an immunocompetent 5-year-old boy with a sudden onset of dysuria and hematuria due to a self-limited polyomavirus urinary tract infection detected on routine urine cytology and confirmed with real-time PCR. Although rare cases of nonhemorrhagic cystitis have been reported, to the best of our knowledge this is the first case of hemorrhagic cystitis occurring in this setting.

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