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Background BK polyomavirus is one of the common post-transplant viral infections, affecting ∼15% of renal
transplantation recipients (RTR), leading to graft loss in more than half of cases.
Objectives Study the rate of detection of BK virus (BKV) in RTRs in Pap-stained urine cytology specimens.
Methods A single center study, urine samples were collected from 99 RTR patients, with 15 Living Donors (LD) and
15 patients with chronic kidney disease (CKD) were taken as controls. And urine cytology smears were
Pap stained for detection of decoy cells (DCs).
Results Out of the 99 RTRs, 27 (27.3%) patients were decoy positive, 8 out of these 27 patients had uncommon
DCs, and 5 out of these 27 cytology positive patients (18.5%) had biopsy proven B
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