诱饵
泌尿系统
尿沉渣
肾
医学
活检
BK病毒
肾活检
肾病
病理
病毒血症
泌尿科
作者
Silvia Malvica,Catarina Mateus,Giuseppe Garigali,Giuseppe Castellano,Giovanni B. Fogazzi
标识
DOI:10.1016/j.cca.2022.04.015
摘要
The examination of the urinary sediment of a kidney transplant recipient, carried out in blind conditions, showed the presence of a moderate number of cells which were identified as decoy cells. Most frequently these cells are a marker of BK polyomavirus reactivation, which can lead to BK virus nephropathy and graft loss. However, the patient's clinical history, the absence of BK viremia, and the renal biopsy findings excluded this condition. The careful examination of the renal biopsy demonstrated a severe tubular damage with cells resembling those identified in the urine as decoy cells. This paper is the first which demonstrates that damaged renal tubular epithelial cells can be misidentified as decoy cells. In addition, it highlights the importance of supplying adequate clinical information for a correct urinary sediment examination.
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