**Core Concept**
Pyelonephritis in kidney allografts is a serious complication that can lead to graft dysfunction or loss. Emerging viral pathogens can cause this condition by infecting the renal parenchyma, leading to inflammation and tissue damage.
**Why the Correct Answer is Right**
The correct answer is Cytomegalovirus (CMV), a herpesvirus that commonly infects kidney transplant recipients. CMV causes pyelonephritis by infecting the renal tubular cells and interstitial tissue, leading to inflammation and tissue damage. CMV infection is often asymptomatic but can cause severe disease in immunocompromised individuals, such as kidney transplant recipients. CMV pyelonephritis is characterized by the presence of viral inclusion bodies, cytomegalic changes, and inflammation in the renal tissue.
**Why Each Wrong Option is Incorrect**
* **Option A:** This is incorrect because BK virus is another viral pathogen that can cause nephropathy in kidney transplant recipients, but it is not the most common cause of pyelonephritis.
* **Option B:** This is incorrect because Polyomavirus is a type of virus that can cause nephropathy in kidney transplant recipients, but it is not typically associated with pyelonephritis.
* **Option D:** This is incorrect because Adenovirus can cause a range of infections, including respiratory and gastrointestinal illnesses, but it is not commonly associated with pyelonephritis in kidney transplant recipients.
**Clinical Pearl / High-Yield Fact**
CMV pyelonephritis is a serious complication of kidney transplantation that requires prompt diagnosis and treatment to prevent graft loss. CMV infection can be prevented with prophylactic antiviral therapy, but it is essential to monitor for CMV viremia in high-risk patients.
**Correct Answer:** C. Cytomegalovirus (CMV)
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.