Parvovirus B19 Infection in Adults: A Case Series

Cundullah Torun1

  • 1Internal Medicine, Istanbul Medeniyet University Göztepe Training and Research Hospital, İstanbul, TUR.

Cureus
|July 29, 2024
PubMed

Insights

Parvovirus B19 infection in adults can mimic other conditions, leading to misdiagnosis. Prompt diagnosis through antibody and PCR testing is crucial for effective supportive care and symptom resolution.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Virology

Background:

  • Parvovirus B19 infection commonly causes erythema infectiosum in children.
  • Adult presentations of Parvovirus B19 are diverse and frequently misdiagnosed.
  • Recognizing atypical adult symptoms is essential for timely diagnosis.

Observation:

  • A case series of three adult patients diagnosed with Parvovirus B19 infection in an outpatient internal medicine clinic.
  • Presenting symptoms included fatigue, arthralgia, swelling, and rash, mimicking early rheumatoid arthritis.
  • Diagnosis was confirmed using serological testing for parvovirus antibodies and polymerase chain reaction (PCR).

Findings:

  • All three adult patients experienced symptom resolution with supportive care.
  • Average recovery time was 18 days.
  • The case series highlights diagnostic challenges in adult Parvovirus B19 infections.

Implications:

  • Increased clinical suspicion for Parvovirus B19 is warranted in adults with flu-like symptoms, joint pain, and rash.
  • Timely serological testing and PCR are vital for accurate diagnosis in adults.
  • Awareness is crucial, particularly during outbreaks and after exposure to infected children.

Related Concept Videos

Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...
Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...