Evidence map›Paper›PMID 41582883›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society

Parvovirus B19 Infection in Kidney Transplant Recipients: Clinical Spectrum, Management, and Outcomes in a Large Multicentered Indian Cohort.

Priti Meena, Vijaychander Bukka, Vinant Bhargava, Vivek Pathak, Umapati Hegde, Vishal Singh, Ashay Shingare, Sanjiv Jasuja, Vishwanath Siddini, Swarnalatha Guditi and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Priti MeenaDepartment of Nephrology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.ORCID https://orcid.org/0000-0001-6073-8101
Vijaychander BukkaDepartment of Nephrology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.ORCID https://orcid.org/0000-0003-4788-3368
Vinant BhargavaDepartment of Nephrology, Sir Ganga Ram Hospital, New Delhi, India.
Vivek PathakDepartment of Nephrology, Kovai Kidney Center, Coimbatore, Tamil Nadu, India.
Umapati HegdeMuljibhai Patel Urological Hospital (MPUH), Nadiad, Gujarat, India.
Vishal SinghArmy Hospital (R&R), New Delhi, India.ORCID https://orcid.org/0000-0002-8379-6395
Ashay ShingareDepartment of Nephrology, Jaslok Hospital and Research Center, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-9533-3462
Sanjiv JasujaDeparment of Nephrology, Indraprastha Apollo Hospital, New Delhi, India.ORCID https://orcid.org/0000-0003-1707-5650
Vishwanath SiddiniDepartment of Nephrology, Manipal Hospital, Bengaluru, Karnataka, India.
Swarnalatha GuditiDepartment of Nephrology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.
Anil BhallaDepartment of Nephrology, Sir Ganga Ram Hospital, New Delhi, India.
Sandip PandaDepartment of Nephrology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
M Edwin FernandoDepartment of Nephrology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
Arvind CanchiDepartment of Nephrology, Trustwell Hospitals Pvt. Ltd., Bengaluru, Karnataka, India.
Dinesh Kumar ThanikachalamDepartment of Nephrology, Madras Medical College, Chennai, Tamil Nadu, India.
Umesh GodhaniDepartment of Nephrology, Kidney Cure Clinic & Dialysis Center, Ahmedabad, India.
Rajat GroverDepartment of Nephrology, Sir Ganga Ram Hospital, New Delhi, India.
Prity Rai KumariDepartment of Nephrology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
M M BahadurDepartment of Nephrology, Jaslok Hospital and Research Center, Mumbai, Maharashtra, India.
Priyash TambiDepartment of Nephrology, Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat, India.
Vivek KuteDepartment of Nephrology, Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParvovirus B19 (PVB19) is a clinically important cause of refractory anemia in kidney transplant recipients (KTRs). Data from low- and middle-income settings remain scarce despite high transplant volumes. This study evaluated the clinical spectrum, management practices, and outcomes of PVB19 infection across major transplant programs in India.

methodsWe conducted a retrospective multicenter cohort study across 14 tertiary transplant centers. All KTRs with PCR-confirmed PVB19 infection and complete clinical data were included. Clinical features, bone marrow findings, immunosuppressive (IS) adjustments, intravenous immunoglobulin (IVIG) use, and patient and graft outcomes were analyzed.

resultsA total of 135 KTRs were identified. Median time to infection was 11 weeks posttransplant. Anemia was universal, not frequently accompanied by leukopenia (17.7%) or thrombocytopenia (14.8%). Bone marrow examinations (n = 34) demonstrated giant proerythroblasts or pure red cell aplasia. IS reduction was implemented in all patients; most commonly, complete MMF withdrawal (61.5%). IVIG was administered to 90% (median cumulative dose 100 g). Overall, 97% achieved hematologic recovery, with a median response time of 20 days. Recurrence occurred in 4.4%. At a median follow-up of 18 months, graft survival was 92.6%; graft loss (n = 10) was primarily due to antibody-mediated rejection, and no deaths were attributable to PVB19.

conclusionsPVB19 infection represents an important consideration in the differential diagnosis of early posttransplant anemia in KTRs. Timely PCR testing and pragmatic treatment strategies can achieve favorable hematologic and graft outcomes in resource-constrained settings.

Indexed as

Kidney TransplantationParvoviridae InfectionsParvovirus B19, HumanAdultAnemiaFemaleHumansImmunoglobulins, IntravenousImmunosuppressive AgentsIndiaMaleMiddle AgedRetrospective StudiesTransplant RecipientsTreatment OutcomeYoung AdultImmunoglobulins, IntravenousImmunosuppressive AgentsIndian cohortkidney transplant recipientsmulticenterparvovirus B19 infection

Identifiers

PMID41582883
PMCPMC13570382

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