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Published on: March 14, 2017
[Transient pancytopenia induced by parvovirus B19 in a child with hereditary spherocytosis]
E T Valera1, R Cipolotti, J E Bernardes
1Hospital das Clínicas, Universidade de São Paulo (USP), SP, Brazil.
Insights
Parvovirus B19 infection can cause temporary pancytopenia in individuals with hereditary hemolytic anemias. Prompt diagnosis using polymerase chain reaction (PCR) is crucial for effective management.
Area of Science:
- Hematology
- Virology
- Pediatrics
Background:
- Hereditary hemolytic anemias predispose individuals to specific complications.
- Parvovirus B19 is a known cause of aplastic crisis in susceptible populations.
Purpose of the Study:
- To report a case of transient pancytopenia caused by parvovirus B19 in a patient with hereditary spherocytosis.
- To emphasize the diagnostic significance of parvovirus B19 infection in hematological conditions.
Main Methods:
- Case report of a pediatric patient.
- Diagnosis confirmed by polymerase chain reaction (PCR) and serology.
- Literature review.
Main Results:
- A 12-year-old male with hereditary spherocytosis developed transient pancytopenia following an infectious syndrome.
- The pancytopenia was attributed to parvovirus B19 infection.
Conclusions:
- Parvovirus B19 infection diagnosis is critical in hematology, particularly for hereditary hemolytic anemias.
- PCR offers a rapid and sensitive method for diagnosing parvovirus B19 infection.
Abstract:
OBJECTIVE: To describe the occurrence of transient pancytopenia induced by parvovirus B19 infection in a patient with hereditary hemolytic anemia and to discuss the importance of the diagnosis of this pathology.METHODS: Case report of a child whose diagnosis was made by polymerase chain reaction (PCR) and serology, and review of the literature.CLINICAL REPORT: A twelve year-old male patient with hereditary spherocytosis, presenting non-specific symptoms of an infectious syndrome followed by severe and transient pancytopenia, whose diagnosis was a parvovirus B19 infection.CONCLUSION: The diagnosis of parvovirus infection has a particular importance in hematology, especially on some morbid conditions, among them the hereditary hemolytic anemias. PCR is useful because of its rapidness and sensitivity on the specific diagnosis of this disease.
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