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In the entire cohort of liver, heart, and lung transplant recipients referred to this clinic, 14% percent were found to have BK viremia with a median peak serum BK viral load of 35\u00a0500 copies\/ml (range 250 to 21\u00a0100\u00a0000 copies\/ml). BK viremia resolved in six of the seventeen patients (35%). Four out of five patients biopsied showed BK virus (BKV) nephropathy. Eleven out of seventeen patients with BK viremia developed advanced (stage 4 or 5) chronic kidney disease. Four patients developed rejection of their solid organ transplant within the first year post detection of BK viremia after immunosuppression reduction. We conclude that a multi\u2010center study is required to evaluate whether implementation of a systematic BK screening program would be effective in early detection and management of this problem in the NRSOT population.<\/jats:p>","DOI":"10.1111\/ctr.14265","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T06:23:46Z","timestamp":1613975026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["BK virus nephropathy in non\u2010renal solid organ transplant recipients: Are we looking hard enough?"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-9279","authenticated-orcid":false,"given":"Ravi K.","family":"Mallavarapu","sequence":"first","affiliation":[{"name":"Division of Transplant Nephrology Augusta University\u2010Medical College of Georgia Augusta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott 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