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Article: Long-term remission of recurrent parvovirus-B associated anemia in a renal transplant recipient induced by treatment with immunoglobulin and positive seroconversion.

Kumar, J / Shaver, M J / Abul-Ezz, S

Transplant infectious disease : an official journal of the Transplantation Society

2005  Volume 7, Issue 1, Page(s) 30–33

Abstract: Parvovirus B-19 (PVB)-related recurrent anemia is reported in a renal transplant recipient ... with long-term remission induced by intravenous immunoglobulin and decreasing immunosuppression. Positive ... with the virus. Positive seroconversion in a naïve subject is associated with long-term remission even ...

Abstract Parvovirus B-19 (PVB)-related recurrent anemia is reported in a renal transplant recipient with long-term remission induced by intravenous immunoglobulin and decreasing immunosuppression. Positive plasma polymerase chain reaction (PCR) and intense bone marrow infection were present at diagnosis, despite the absence of serum immunoglobulin IgG and IgM antibodies to the virus. Seroconversion against the virus was followed by long-term remission while the plasma PCR for PVB remained positive. This case illustrates the absence of serum antibodies in an immunosuppressed host despite florid infection with the virus. Positive seroconversion in a naïve subject is associated with long-term remission even in the presence of detectable viral DNA copies in the plasma.
MeSH term(s) Adult ; Anemia/virology ; DNA, Viral/blood ; Humans ; Immunocompromised Host ; Immunoglobulins, Intravenous/therapeutic use ; Kidney Transplantation/immunology ; Male ; Parvoviridae Infections/complications ; Parvoviridae Infections/drug therapy ; Parvoviridae Infections/immunology ; Parvovirus B19, Human/isolation & purification ; Recurrence ; Remission Induction
Chemical Substances DNA, Viral ; Immunoglobulins, Intravenous
Language English
Publishing date 2005-03
Publishing country Denmark
Document type Case Reports ; Journal Article
ZDB-ID 1476094-0
ISSN 1399-3062 ; 1398-2273
ISSN (online) 1399-3062
ISSN 1398-2273
DOI 10.1111/j.1399-3062.2005.00082.x
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