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Parvovirus B19 in human disease
1Hematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
Parvovirus B19 causes diverse diseases in humans, from erythema infectiosum in healthy individuals to aplastic crisis and anemia in vulnerable populations. Research is ongoing to develop a vaccine against this common virus.
Area of Science:
- Virology
- Infectious Diseases
- Hematology
Background:
- Parvovirus B19 is the sole known pathogenic parvovirus affecting humans.
- It presents with varied clinical manifestations depending on the host's immune status and underlying conditions.
Purpose of the Study:
- To review the diverse disease spectrum associated with Parvovirus B19 infection.
- To highlight diagnostic approaches and current research directions, including vaccine development.
Main Methods:
- Literature review of Parvovirus B19 associated diseases.
- Summary of diagnostic criteria including bone marrow examination and virologic studies.
- Overview of pathophysiology and ongoing vaccine development efforts.
Main Results:
- In healthy individuals, infection commonly manifests as erythema infectiosum.
- In patients with hemolytic disorders, Parvovirus B19 is a primary cause of transient aplastic crisis.
- Immunosuppressed patients and fetuses are susceptible to persistent infection, chronic anemia, pure red cell aplasia, hydrops fetalis, and congenital anemia.
Conclusions:
- Parvovirus B19 infection presents a broad clinical spectrum, impacting various patient groups differently.
- Accurate diagnosis relies on bone marrow and virologic assessments.
- Further research is crucial for understanding pathophysiology and developing preventative strategies like vaccines.
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