Impact of Bk Polyomavirus Plasma Viral Load in Kidney Transplant Outcomes

•BK polyomavirus infection is not an uncommon complication after kidney transplant.•Male sex, older age, and retransplant are risk factors for BK polyomavirus infection.•Acute rejection is more frequent in patients with history of BK polyomavirus infection.•Stepwise minimization of immunosuppression is the first-line approach in patients with BK polyomavirus infection.•High-level BK viremia negatively impacts on kidney transplant survival.