BK virus DNA in CSF of immunocompetent and immunocompromised patients

Arch Dis Child. 2003 Feb;88(2):174-5. doi: 10.1136/adc.88.2.174.

Abstract

Aim: To investigate the possible aetiological role of BK and JC viruses in immunocompetent and immunocompromised children with suspected encephalitis and meningoencephalitis.

Methods: The polymerase chain reaction and microplate hybridisation method was employed for the detection of polyomavirus DNA in 266 CSF specimens collected from immunocompetent and immunocompromised patients.

Results: BK virus DNA was detected in three (2.1%) CSF samples taken from patients aged 2-5 years; two were patients with acute lymphocytic leukaemia without overt neurological symptoms, the other was a patient with suspected encephalitis. BK virus DNA was also detected in two (1.6%) CSF samples taken from older children in the age range 10-16 years; both children had suspected encephalitis. JC virus DNA was not found in any CSF sample from either age group.

Conclusions: Detection of BK virus in the CSF of immunocompromised and immunocompetent patients with suspected neurological disease suggests that this virus may have had a pathogenic role in the aetiology of this condition.

MeSH terms

  • Adolescent
  • BK Virus / isolation & purification*
  • Child
  • Child, Preschool
  • DNA, Viral / analysis*
  • Encephalitis, Viral / cerebrospinal fluid*
  • Encephalitis, Viral / virology
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Immune Tolerance
  • Immunocompromised Host
  • JC Virus / isolation & purification
  • Meningoencephalitis / cerebrospinal fluid*
  • Meningoencephalitis / virology
  • Polymerase Chain Reaction
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / cerebrospinal fluid*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / virology

Substances

  • DNA, Viral