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Acute Liver Failure and Myelosuppression due to Parvovirus B19 Infection: A Case Report
Jian Qi Lian1, Ye Zhang1, Li Liu1
1Center of Infectious Diseases, Department of Hemotology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi province, China.
Abstract:
Parvovirus B19 has been associated with different diseases, such as erythema infectiosum, arthropathy and transient aplastic crisis. However, parvovirus B19 infection presenting as hepatic dysfunction and myelosuppression is rarely reported in adult patients. Herein, we report an adult case of acute parvovirus B19 infection presented with acute liver failure and myelosuppression. After being treated with gamma globulin, the patient's liver function and bone marrow test improved. We conclude that the parvovirus B19 infection should be considered as a possible cause of acute liver injury and bone marrow suppression. The antibody for B19 virus should be routinely tested in patients with liver dysfunction and/or myelosuppression of unclear etiology.
Insights
Parvovirus B19 infection can cause liver failure and bone marrow suppression in adults, though rare. Prompt testing for B19 virus antibodies is recommended for unexplained liver and blood cell issues.
Area of Science:
- Virology
- Hepatology
- Hematology
Background:
- Parvovirus B19 is linked to erythema infectiosum, arthropathy, and aplastic crisis.
- Hepatopathy and myelosuppression are uncommon presentations of parvovirus B19 in adults.
Observation:
- A rare case of adult parvovirus B19 infection presenting with acute liver failure and myelosuppression is detailed.
- The patient received gamma globulin therapy.
Findings:
- Treatment with gamma globulin led to improvements in liver function and bone marrow parameters.
- This case highlights parvovirus B19 as a potential cause of acute liver injury and bone marrow suppression.
Implications:
- Consider parvovirus B19 infection in adults with unexplained acute liver injury and/or myelosuppression.
- Routine testing for B19 virus antibodies is advised for patients with these conditions.
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