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Transient leukoerythroblastosis in a very low birth weight infant with parvovirus B19 infection
Ridvan Duran1, Ulfet Vatansever, Betül Acunaş
1Department of Pediatrics, Trakya University Faculty of Medicine, 22030 Edirne, Turkey. ridvan_duran@yahoo.com
Insights
Transient leukoerythroblastosis, a high white blood cell count, can occur in preterm infants. Parvovirus B19 infection is a potential cause to consider in neonates.
Area of Science:
- Neonatal Medicine
- Pediatric Hematology
- Infectious Diseases
Background:
- Leukoerythroblastosis involves high white blood cell counts with immature myeloid and erythroid cells.
- Common causes in children include viral infections, juvenile myelomonocytic leukemia, and osteopetrosis.
- Parvovirus B19 association is rare, previously noted only in one preterm infant.
Observation:
- A case study of a very low birth weight preterm infant presented with transient leukoerythroblastosis.
- The condition was associated with parvovirus B19 infection.
Findings:
- Parvovirus B19 infection can manifest as leukoerythroblastosis in preterm neonates.
- This association highlights a less common presentation of parvovirus B19.
Implications:
- High leukocyte counts in neonates warrant consideration of leukoerythroblastosis.
- Parvovirus B19 infection should be investigated as a potential etiological factor in such cases.
- Early diagnosis and management are crucial for affected infants.
Background:
Leukoerythroblastosis is characterized by the presence of leukocytosis and erythroid and myeloid blast cells in the peripheral blood. The most common etiological factors of leukoerythroblastosis occurring during early childhood are viral infections, juvenile myelomonocytic leukemia, and osteopetrosis. To our knowledge, an association with parvovirus B19 infection has only been reported in a preterm infant. Human parvovirus B19 has been associated with red cell aplasia, leukopenia, and thrombocytopenia.
Case Report:
The case of a very low birth weight preterm infant with transient leukoerythroblastosis associated with parvovirus B19 infection is described.
Conclusions:
Leukoerythroblastosis has to be kept in mind if a very high leukocyte count is detected in the neonatal period, and parvovirus B19 infection should be taken into consideration as the etiological factor for this entity.
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