JC virus causes
**Core Concept**
The JC virus is a type of polyomavirus that primarily infects the kidneys and brain. It is a common virus that many people are exposed to in childhood, but it usually remains latent and does not cause problems.
**Why the Correct Answer is Right**
The JC virus is known to cause progressive multifocal leukoencephalopathy (PML), a rare and often fatal demyelinating disease of the central nervous system. This occurs when the virus reactivates in individuals with compromised immune systems, such as those with HIV/AIDS, organ transplant recipients, or patients undergoing chemotherapy. The virus infects oligodendrocytes, the cells responsible for myelinating nerve fibers, leading to the characteristic demyelination and subsequent neurological symptoms.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because the JC virus is not associated with hepatitis. Hepatitis is primarily caused by viruses such as hepatitis A, B, C, D, and E.
**Option B:** This option is incorrect because the JC virus is not a cause of meningitis. Meningitis is typically caused by bacteria such as Neisseria meningitidis or Streptococcus pneumoniae, or by viruses such as enteroviruses or herpesviruses.
**Option C:** This option is incorrect because the JC virus is not associated with sepsis. Sepsis is a life-threatening condition caused by an uncontrolled immune response to an infection, typically caused by bacteria such as E. coli or Staphylococcus aureus.
**Clinical Pearl / High-Yield Fact**
The JC virus is also known as the "brain cancer virus" due to its association with PML, but it is not a direct cause of cancer. However, it is a significant concern in immunocompromised patients, and its reactivation can have devastating consequences.
**Correct Answer:** D. Progressive multifocal leukoencephalopathy (PML)