1887

Abstract

Human parvovirus B19 (B19V) is the aetiological agent of . Primary infection during pregnancy can be transmitted to the foetus and cause foetal abnormalities related to depletion of erythrocyte progenitor cells, including congenital anaemia, hydrops, and foetal death. In this paper we report the detection of B19V infection in a pregnant patient, which onset occurred without appreciable signs and symptoms until she developed inappropriate contractions for gestational age and fluid loss. B19V infection resulted in severe with a fatal course for the foetus, while persisted in the mother at least 12 months after foetal death. The objective of this report is to highlight the importance of optimizing B19V diagnosis through early suspicion and testing during pregnancy. Knowing the mother’s immune status before or at the beginning of gestation can contribute, together with early diagnosis, to improve the management of patients at risk.

Funding
This study was supported by the:
  • Secretaria de Ciencia y Tecnología, Universidad Nacional de Córdoba (Award R 411/2018-2022)
    • Principle Award Recipient: MariaPilar Adamo
  • Agencia Nacional de Promoción Científica y Tecnológica (Award FonCyT-PICT-2019-4600)
    • Principle Award Recipient: MariaPilar Adamo
  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
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/content/journal/acmi/10.1099/acmi.0.000428
2022-10-03
2024-05-17
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References

  1. Pénzes JJ, Söderlund-Venermo M, Canuti M, Eis-Hübinger AM, Hughes J et al. Reorganizing the family parvoviridae: a revised taxonomy independent of the canonical approach based on host association. Arch Virol 2020; 165:2133–2146 [View Article] [PubMed]
    [Google Scholar]
  2. Ganaie SS, Qiu J. Recent advances in replication and infection of human parvovirus B19. Front Cell Infect Microbiol 2018; 8:166 Epub ahead of print 5 June [View Article]
    [Google Scholar]
  3. Ornoy A, Ergaz Z. Parvovirus B19 infection during pregnancy and risks to the fetus. Birth Defects Res 2017; 109:311–323 [View Article] [PubMed]
    [Google Scholar]
  4. Salbetti MB, Pedranti MS, Barbero P, Molisani P, Lazzari M et al. Molecular screening of the human parvoviruses B19 and bocavirus 1 in the study of congenital diseases as applied to symptomatic pregnant women and children. Access Microbiol 2019; 1:e000037 [View Article]
    [Google Scholar]
  5. Beigi RH, Wiesenfeld HC, Landers DV, Simhan HN. High rate of severe fetal outcomes associated with maternal parvovirus B19 infection in pregnancy. Infect Dis Obstet Gynecol 2008; 2008:1–4 [View Article] [PubMed]
    [Google Scholar]
  6. Yamada H, Tairaku S, Morioka I, Sonoyama A, Tanimura K et al. Nationwide survey of mother-to-child infections in Japan. J Infect Chemother 2015; 21:161–164 [View Article] [PubMed]
    [Google Scholar]
  7. Xiong Y-Q, Tan J, Liu Y-M, He Q, Li L et al. The risk of maternal parvovirus B19 infection during pregnancy on fetal loss and fetal hydrops: a systematic review and meta-analysis. J Clin Virol 2019; 114:12–20 [View Article] [PubMed]
    [Google Scholar]
  8. Noyola DE, Padilla-Ruiz ML, Obregón-Ramos MG, Zayas P, Pérez-Romano B. Parvovirus B19 infection in medical students during a hospital outbreak. J Med Microbiol 2004; 53:141–146 [View Article] [PubMed]
    [Google Scholar]
  9. Pedranti MS, Barbero P, Wolff C, Ghietto LM, Zapata M et al. Infection and immunity for human parvovirus B19 in patients with febrile exanthema. Epidemiol Infect 2012; 140:454–461 [View Article] [PubMed]
    [Google Scholar]
  10. Watt AP, Brown M, Pathiraja M, Anbazhagan A, Coyle PV. The lack of routine surveillance of parvovirus B19 infection in pregnancy prevents an accurate understanding of this regular cause of fetal loss and the risks posed by occupational exposure. J Med Microbiol 2013; 62:86–92 [View Article] [PubMed]
    [Google Scholar]
  11. Russcher A, Enders A, de Brouwer CS, Oepkes D, Hahn R et al. Diagnosis of intrauterine parvovirus B19 infection at birth - value of DNA detection in neonatal blood and dried blood spots. J Clin Virol 2020; 129:104482 [View Article] [PubMed]
    [Google Scholar]
  12. Auriti C, De Rose DU, Santisi A, Martini L, Piersigilli F et al. Pregnancy and viral infections: mechanisms of fetal damage, diagnosis and prevention of neonatal adverse outcomes from cytomegalovirus to SARS-CoV-2 and Zika virus. Biochim Biophys Acta Mol Basis Dis 2021; 1867:166198 [View Article]
    [Google Scholar]
  13. Hartge DR, Weichert J, Gembicki M, Krapp M. Confirmation of etiology in fetal hydrops by sonographic evaluation of fluid allocation patterns. Eur J Obstet Gynecol Reprod Biol 2015; 195:128–132 [View Article] [PubMed]
    [Google Scholar]
  14. de Jong EP, Walther FJ, Kroes ACM, Oepkes D. Parvovirus B19 infection in pregnancy: new insights and management. Prenat Diagn 2011; 31:419–425 [View Article] [PubMed]
    [Google Scholar]
  15. Bonvicini F, Bua G, Gallinella G. Parvovirus B19 infection in pregnancy-awareness and opportunities. Curr Opin Virol 2017; 27:8–14 [View Article] [PubMed]
    [Google Scholar]
  16. Attwood LO, Holmes NE, Hui L. Identification and management of congenital parvovirus B19 infection. Prenat Diagn 2020; 40:1722–1731 [View Article] [PubMed]
    [Google Scholar]
  17. Barlinn R, Rollag H, Trogstad L, Vainio K, Basset C et al. High incidence of maternal parvovirus B19 infection in a large unselected population-based pregnancy cohort in Norway. J Clin Virol 2017; 94:57–62 [View Article] [PubMed]
    [Google Scholar]
  18. Lindblom A, Isa A, Norbeck O, Wolf S, Johansson B et al. Slow clearance of human parvovirus B19 viremia following acute infection. Clin Infect Dis 2005; 41:1201–1203 [View Article]
    [Google Scholar]
  19. Alves AD, Melgaço JG, Cássia Nc Garcia R de, Raposo JV, de Paula VS et al. Persistence of parvovirus B19 in liver from transplanted patients with acute liver failure. Future Microbiol 2020; 15:307–317 [View Article]
    [Google Scholar]
  20. Adamo MP, Blanco S, Viale F, Rivadera S, Rodríguez-Lombardi G et al. Human parvovirus B19 frequency among blood donors after an epidemic outbreak: relevance of the epidemiological scenario for transfusion medicine. Heliyon 2020; 6:e03869 [View Article]
    [Google Scholar]
  21. Gallinella G. Molecular testing for parvoviruses. Diagnostic Mol Pathol 2017103–113
    [Google Scholar]
  22. Barlinn R, Trogstad L, Rollag H, Frøen F, Magnus P et al. Parvovirus B19 DNAemia in pregnant women in relation to perinatal death: a nested case-control study within a large population-based pregnancy cohort. Acta Obstet Gynecol Scand 2020; 99:856–864 Epub ahead of print 2020 [View Article]
    [Google Scholar]
  23. Bonvicini F, Bua G, Conti I, Manaresi E, Gallinella G. Hydroxyurea inhibits parvovirus B19 replication in erythroid progenitor cells. Biochem Pharmacol 2017; 136:32–39 [View Article] [PubMed]
    [Google Scholar]
  24. Zobel T, Bock CT, Kühl U, Rohde M, Lassner D et al. Telbivudine reduces parvovirus B19-induced apoptosis in circulating angiogenic cells. Viruses 2019; 11:E227 [View Article]
    [Google Scholar]
  25. Garabedian C, Rakza T, Thomas D, Wibaut B, Vaast P et al. Neonatal outcome after fetal anemia managed by intrauterine transfusion. Eur J Pediatr 2015; 174:1535–1539 [View Article] [PubMed]
    [Google Scholar]
  26. Lindenburg ITM, van Kamp IL, Oepkes D. Intrauterine blood transfusion: current indications and associated risks. Fetal Diagn Ther 2014; 36:263–271 [View Article] [PubMed]
    [Google Scholar]
  27. Hunter LA, Ayala NK. Parvovirus B19 in pregnancy: a case review. J Midwifery Womens Health 2021; 66:385–390 [View Article] [PubMed]
    [Google Scholar]
  28. Gigi CE, Anumba DOC. Parvovirus b19 infection in pregnancy - a review. Eur J Obstet Gynecol Reprod Biol 2021; 264:358–362 [View Article] [PubMed]
    [Google Scholar]
  29. Young MF, Oaks BM, Tandon S, Martorell R, Dewey KG et al. Maternal hemoglobin concentrations across pregnancy and maternal and child health: a systematic review and meta-analysis. Ann N Y Acad Sci 2019; 1450:47–68 [View Article] [PubMed]
    [Google Scholar]
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