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Parvovirus B19 Infection in Adults: A Case Series
1Internal Medicine, Istanbul Medeniyet University Göztepe Training and Research Hospital, İstanbul, TUR.
Abstract:
Parvovirus B19 infection, typically associated with erythema infectiosum in children, presents variably in adults, often leading to misdiagnosis. This case series describes three adult patients diagnosed with parvovirus B19 infection in an internal medicine outpatient clinic in March 2024. Symptoms included fatigue, joint pain, swelling, and skin rash, with misdiagnoses including early rheumatoid arthritis. The diagnosis was confirmed via positive parvovirus antibodies and polymerase chain reaction (PCR). All patients received supportive care, and symptoms resolved within an average of 18 days. This series underscores the need for heightened clinical suspicion and timely serological testing for parvovirus B19 in adults presenting with flu-like symptoms, joint pain, and rash, especially during mini-outbreaks and following contact with infected children.
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.
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