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Article ; Online: Human parvovirus B19: a review of clinical and epidemiological aspects in Brazil.

Cnc Garcia, Rita de / Leon, Luciane Aa

Future microbiology

2021 Volume 16, Issue 1, Page(s) 37–50

Abstract: Since the first evidence of human parvovirus B19 (B19V) infection in late 80s, several studies have ... In this article, we provide a historical comprehensive overview of the research on parvovirus B19 conducted ...

Abstract	Since the first evidence of human parvovirus B19 (B19V) infection in late 80s, several studies have been conducted to clarify the spectrum of clinical diseases in Brazil. B19V infection is prevalent in the general population and has exhibited a cyclical pattern of occurrence every 4-5 years, with the predominance of genotype 1 over 3b. During epidemic periods the wide range of clinical conditions, such as ertythema infectiosum, arthropathy, transient aplastic crisis, nonimmune hydrops fetalis and B19V-hepatitis were diagnosed. However, many infections are likely asymptomatic or have a self-limiting clinical course and are not readly diagnosed. Besides, the similarity of the symptoms of ertythema infectiosum to other rash diseases and the broadly circulation of arboviruses makes differential diagnosis more difficult. In this article, we provide a historical comprehensive overview of the research on parvovirus B19 conducted in Brazil, with a focus on the clinical and epidemiological aspects of the infection.
MeSH term(s)	Brazil/epidemiology ; Hematologic Diseases/diagnosis ; Hematologic Diseases/epidemiology ; Hematologic Diseases/virology ; Humans ; Joint Diseases/diagnosis ; Joint Diseases/epidemiology ; Joint Diseases/virology ; Parvoviridae Infections/diagnosis ; Parvoviridae Infections/epidemiology ; Parvoviridae Infections/virology ; Parvovirus B19, Human/classification ; Parvovirus B19, Human/genetics ; Parvovirus B19, Human/isolation & purification ; Parvovirus B19, Human/physiology
Language	English
Publishing date	2021-01-13
Publishing country	England
Document type	Journal Article ; Review
ISSN	1746-0921
ISSN (online)	1746-0921
DOI	10.2217/fmb-2020-0123
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Article: [Review of correlation between human parvovirus B19 and autoimmune disease etiology].

Jia, Xueying / Gong, Li / Huang, Gaosheng / Zhang, Wei

Xi bao yu fen zi mian yi xue za zhi = Chinese journal of cellular and molecular immunology

2020 Volume 36, Issue 1, Page(s) 75–80

Abstract: Human parvovirus B19 (PVB19) is a small single strand DNA virus distributed throughout the world ... that anti-B19-VP1u-IgG antibody is able to increase the activity of cytokines such as interleukin 1 (IL-1 ... the mechanism of human infection and the relationship between PVB19 and AIDs are summarized. ...

Abstract	Human parvovirus B19 (PVB19) is a small single strand DNA virus distributed throughout the world, with its encoded products being three known proteins. There is conclusive evidence that PVB19 infection is a crucial inducement of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Hashimoto's thyroiditis (HT), myasthenia gravis (MG) and other autoimmune diseases (AIDs). Recent studies have confirmed that anti-B19-VP1u-IgG antibody is able to increase the activity of cytokines such as interleukin 1 (IL-1), tumor necrosis factor α (TNF-α), matrix metalloproteinase-9 (MMP9); PVB19 protein NS 1 and VP1u are capable of inducing the expression of IL-6; PVB19 can induce the production of Th17 cell-related cytokines, resulting in the decrease of IFN-gamma levels and the increase of IL-4 levels in plasma. In this paper, the structure of PVB19, the mechanism of human infection and the relationship between PVB19 and AIDs are summarized.
MeSH term(s)	Arthritis, Rheumatoid/virology ; Autoimmune Diseases/virology ; Cytokines/immunology ; Hashimoto Disease/virology ; Humans ; Lupus Erythematosus, Systemic/virology ; Myasthenia Gravis/virology ; Parvovirus B19, Human/pathogenicity
Chemical Substances	Cytokines
Language	Chinese
Publishing date	2020-04-20
Publishing country	China
Document type	Journal Article ; Review
ISSN	1007-8738
ISSN	1007-8738
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Article: ABO-incompatible living donor kidney transplantation failure due to acute blood group antibody-dependent rejection triggered by human parvovirus B19 infection: a case report and literature review.

Dai, Lin-Rui / Wang, Xiao-Hui / Hou, Yi-Bo / Zou, Zhi-Yu / Chen, Song / Zhang, Wei-Jie / Chang, Sheng

Frontiers in medicine

2023 Volume 10, Page(s) 1195419

Abstract: ... rejection triggered by human parvovirus B19 (B19V).: Case report: The ABO blood group of the recipient ... was O, and that of the donor was B. The recipient had high baseline anti-B antibody titers (IgM, 1 ...

Abstract	Background: With the improvement of immunosuppressive regimens, the success rate and availability of ABO-incompatible (ABO-i) kidney transplantation (KT) have gradually increased. However, the management of immunosuppression protocols and complications associated with ABO-i KT is complex. Here, we report a clinical case of ABO-i living donor KT with allograft dysfunction caused by acute blood group antibody-dependent rejection triggered by human parvovirus B19 (B19V). Case report: The ABO blood group of the recipient was O, and that of the donor was B. The recipient had high baseline anti-B antibody titers (IgM, 1:1024; IgG, 1:64). Before transplantation, he completed a desensitization protocol comprising plasma exchange, double-filtration plasmapheresis, and rituximab, which maintained a low blood group antibody level and resulted in successful transplantation. Two weeks after surgery, the recipient developed a B19V infection combined with acute T-cell-mediated rejection. After the anti-rejection regimen, acute rejection (AR) was successfully reversed, but B19V persisted. One week after AR stabilization, the patient experienced acute antibody-mediated rejection that was more severe and refractory, resulting in the loss of the transplanted kidney. Conclusion: Desensitization combined with immunosuppressants can lead to overimmunosuppression and cause various infections. Infections could break the accommodation state of the patient, thereby inducing AR and resulting in the loss of the transplanted kidney.
Language	English
Publishing date	2023-11-23
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2023.1195419
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Article: Human parvovirus B19: a review.

Rogo, L D / Mokhtari-Azad, T / Kabir, M H / Rezaei, F

Acta virologica

2014 Volume 58, Issue 3, Page(s) 199–213

Abstract: ... of the family Parvoviridae, the subfamily Parvovirinae, the genus Erythrovirus and Human parvovirus B19 type ... to the present and future researchers.: Keywords: human parvovirus B19; respiratory pathogen; biology; genome ... Unlabelled: Parvovirus B19 (B19V) is a small non-enveloped single-stranded DNA (ssDNA) virus ...

Abstract	Unlabelled: Parvovirus B19 (B19V) is a small non-enveloped single-stranded DNA (ssDNA) virus of the family Parvoviridae, the subfamily Parvovirinae, the genus Erythrovirus and Human parvovirus B19 type species. It is a common community-acquired respiratory pathogen without ethnic, socioeconomic, gender, age or geographic boundaries. Moreover, the epidemiological and ecological relationships between human parvovirus B19, man and environment have aroused increasing interest in this virus. B19V infection is associated with a wide spectrum of clinical manifestations, some of which were well established and some are still controversial, however, it is also underestimated from a clinical perspective. B19V targets the erythroid progenitors in the bone marrow by binding to the glycosphingolipid globoside (Gb4), leading to large receptor-induced structural changes triggering cell death either by lysis or by apoptosis mediated by the nonstructural (NS)1 protein. The pattern of genetic evolution, its peculiar properties and functional profile, the characteristics of its narrow tropism and restricted replication, its complex relationship with the host and its ample pathogenetic potential are all topics that are far from a comprehensive understanding. The lack of efficient adaptation to in vitro cellular cultures and the absence of animal models have limited classical virological studies and made studies on B19V dependent on molecular biology. The present review looks at the nature of this virus with the view to provide more information about its biology, which may be useful to the present and future researchers. Keywords: human parvovirus B19; respiratory pathogen; biology; genome; fifth disease; transient aplastic crisis; anemia.
MeSH term(s)	Animals ; Antiviral Agents/pharmacology ; Humans ; Parvoviridae Infections/diagnosis ; Parvoviridae Infections/drug therapy ; Parvoviridae Infections/virology ; Parvovirus B19, Human/drug effects ; Parvovirus B19, Human/genetics ; Parvovirus B19, Human/physiology
Chemical Substances	Antiviral Agents
Language	English
Publishing date	2014-10-04
Publishing country	Slovakia
Document type	Journal Article ; Review
ZDB-ID	210452-0
ISSN	1336-2305 ; 0001-723X
ISSN (online)	1336-2305
ISSN	0001-723X
DOI	10.4149/av_2014_03_199
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Article: Molecular and serological markers of human parvovirus B19 infection in blood donors: A systematic review and meta-analysis.

Farahmand, Mohammad / Tavakoli, Ahmad / Ghorbani, Saied / Monavari, Seyed Hamidreza / Kiani, Seyed Jalal / Minaeian, Sara

Asian journal of transfusion science

2021 Volume 15, Issue 2, Page(s) 212–222

Abstract: Background: Human parvovirus B19 (B19V) is one of the blood-borne viruses. The virus can be ... can cause anemia and arthritis. The current systematic review and meta-analysis aimed to estimate ...

Abstract	Background: Human parvovirus B19 (B19V) is one of the blood-borne viruses. The virus can be transmitted to susceptible individuals by blood or blood products. The virus is not associated with significant disease in general population, while people with underlying problems such as immunodeficiency can cause anemia and arthritis. The current systematic review and meta-analysis aimed to estimate the overall prevalence of B19V DNA, anti-B19V IgG, and anti-B19V IgM antibodies in blood donors worldwide. Methods: A systematic search was carried out in online databases for relevant studies from inception until March 30, 2019. Study selection was performed based on predesigned eligibility criteria. The proportion of B19V DNA, anti-B19V IgG, and anti-B19V IgM antibodies were pooled using the inverse variance method. All statistical analyses were performed using the R version 3.5.3, package "meta." Results: According to the random-effects model, the pool prevalence of B19V DNA, anti-B19V IgM, and anti-B19V IgG among blood donors was calculated to be 0.4% (95% confidence interval [CI] =0.3%-0.6%), 2.2% (95% CI = 1.3%-3.7%), and 50.1% (95% CI = 43.1%-57.1%), respectively. Conclusion: For the transmission of B19V through blood, the presence of the virus genome is required, and the present study showed that the prevalence of the virus genome in blood donors is <1%. Therefore, there is no need to screen donated blood for B19V infection.
Language	English
Publishing date	2021-11-01
Publishing country	India
Document type	Journal Article ; Review
ZDB-ID	2267310-6
ISSN	1998-3565 ; 0973-6247
ISSN (online)	1998-3565
ISSN	0973-6247
DOI	10.4103/ajts.ajts_185_20
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Article ; Online: Disseminated Human Parvovirus B19 Infection Induced Multiple Organ Dysfunction Syndrome in an Adult Patient With Alcoholic Hepatitis Complicated by Hemolytic Anemia: A Case Report and Literature Review.

Luo, Jinmei / Zhang, Jingcong / Lai, Wenxing / Wang, Shaofang / Zhou, Laizhi / Shi, Yunfeng / Ba, Junhui / Hu, Jiajia / Wang, Yanhong / Li, Laisheng / Wu, Ben-Quan

Frontiers in immunology

2021 Volume 12, Page(s) 742990

Abstract: Background: Human parvovirus B19: Case presentation: A 43-year-old male patient with AH ... related to : Conclusions: B19 ...

Abstract	Background: Human parvovirus B19 Case presentation: A 43-year-old male patient with AH accompanied by HA was transferred to the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, on March 31, 2021. After supportive treatment, his transaminase and bilirubin levels were reduced, but his anemia worsened. He received a red blood cell (RBC) infusion on April 9 for hemoglobin (Hb) lower than 6 g/dl. On April 13, he suddenly had a high fever. Under empirical anti-infection, his high fever dropped and maintained at a low fever level; however, his anemia worsened. On April 25, he was transferred to the medical intensive care unit (MICU) due to severe pneumonia, acute respiratory distress syndrome (ARDS), acute aplastic crisis (AAC), and hemophagocytic syndrome (HPS), which were subsequently confirmed to be related to Conclusions: B19
MeSH term(s)	Adult ; Anemia, Hemolytic/immunology ; Hepatitis, Alcoholic/diagnosis ; Hepatitis, Alcoholic/immunology ; Humans ; Male ; Multiple Organ Failure/diagnosis ; Multiple Organ Failure/immunology ; Parvoviridae Infections/diagnosis ; Parvoviridae Infections/immunology ; Parvovirus B19, Human/immunology
Language	English
Publishing date	2021-12-14
Publishing country	Switzerland
Document type	Case Reports ; Research Support, Non-U.S. Gov't
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2021.742990
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Article ; Online: A review of blood diseases and cytopenias associated with human parvovirus B19 infection.

Kerr, Jonathan R

Reviews in medical virology

2015 Volume 25, Issue 4, Page(s) 224–240

Abstract: Parvovirus B19 is a single-stranded DNA virus which preferentially targets the erythroblast ... state of knowledge of the abnormalities of individual blood cell lineages encountered during parvovirus ... resulting in red cell aplasia, which is temporary in immunocompetent persons. Since the discovery of B19 ...

Abstract	Parvovirus B19 is a single-stranded DNA virus which preferentially targets the erythroblast resulting in red cell aplasia, which is temporary in immunocompetent persons. Since the discovery of B19 virus in 1975, a wide variety of blood diseases and cytopenias affecting several blood cell lineages have been documented during or following B19 infection. These include cytopenias affecting the erythroid, megakaryoblastoid, myeloid and lymphoid lineages, as well as a variety of bicytopenias, pancytopenia, bone marrow necrosis / fat embolism syndrome, myelodysplastic syndrome, leucoerythroblastopenia, and hemophagocytic lymphohistiocytosis. B19 infection may also complicate and precede the course of acute leukemia, the significance of which remains to be determined. This review describes the current state of knowledge of the abnormalities of individual blood cell lineages encountered during parvovirus B19 infection, over the almost 40 years since its discovery, and reveals some very interesting themes, which improve our understanding of the pathogenesis of B19 infection with particular reference to the bone marrow.
MeSH term(s)	Hematologic Diseases/virology ; Humans ; Parvoviridae Infections/complications ; Parvoviridae Infections/virology ; Parvovirus B19, Human/isolation & purification
Language	English
Publishing date	2015-07
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1086043-5
ISSN	1099-1654 ; 1052-9276
ISSN (online)	1099-1654
ISSN	1052-9276
DOI	10.1002/rmv.1839
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Article ; Online: Neurological aspects of human parvovirus B19 infection: a systematic review.

Barah, Faraj / Whiteside, Sigrid / Batista, Sonia / Morris, Julie

Reviews in medical virology

2014 Volume 24, Issue 3, Page(s) 154–168

Abstract: Parvovirus B19 has been linked with various clinical syndromes including ... of cases of B19-associated neurological manifestations. A computerized systematic review of existing ... witnessed a surge of case reports on B19-associated neurological aspects, the literature data remains ...

Abstract	Parvovirus B19 has been linked with various clinical syndromes including neurological manifestations. However, its role in the latter remains not completely understood. Although the last 10 years witnessed a surge of case reports on B19-associated neurological aspects, the literature data remains scattered and heterogeneous, and epidemiological information on the incidence of B19-associated neurological aspects cannot be accurately extrapolated. The aim of this review is to identify the characteristics of cases of B19-associated neurological manifestations. A computerized systematic review of existing literature concerning cases of B19-related neurological aspects revealed 89 articles describing 129 patients; 79 (61.2%) were associated with CNS manifestations, 41 (31.8%) were associated with peripheral nervous system manifestations, and 9 (7.0%) were linked with myalgic encephalomyelitis. The majority of the cases (50/129) had encephalitis. Clinical characteristic features of these cases were analyzed, and possible pathological mechanisms were also described. In conclusion, B19 should be included in differential diagnosis of encephalitic syndromes of unknown etiology in all age groups. Diagnosis should rely on investigation of anti-B19 IgM antibodies and detection of B19 DNA in serum or CSF. Treatment of severe cases might benefit from a combined regime of intravenous immunoglobulins and steroids. To confirm these outcomes, goal-targeted studies are recommended to exactly identify epidemiological scenarios and explore potential pathogenic mechanisms of these complications. Performing retrospective and prospective and multicenter studies concerning B19 and neurological aspects in general, and B19 and encephalitic syndromes in particular, are required.
MeSH term(s)	Antibodies, Viral/blood ; Antibodies, Viral/cerebrospinal fluid ; Central Nervous System/drug effects ; Central Nervous System/physiopathology ; Central Nervous System/virology ; DNA, Viral/blood ; DNA, Viral/cerebrospinal fluid ; Diagnosis, Differential ; Encephalitis/diagnosis ; Encephalitis/physiopathology ; Fatigue Syndrome, Chronic/diagnosis ; Fatigue Syndrome, Chronic/drug therapy ; Fatigue Syndrome, Chronic/physiopathology ; Fatigue Syndrome, Chronic/virology ; Humans ; Immunoglobulins, Intravenous/therapeutic use ; Parvoviridae Infections/diagnosis ; Parvoviridae Infections/drug therapy ; Parvoviridae Infections/physiopathology ; Parvoviridae Infections/virology ; Parvovirus B19, Human/isolation & purification ; Parvovirus B19, Human/physiology ; Peripheral Nervous System Diseases/diagnosis ; Peripheral Nervous System Diseases/drug therapy ; Peripheral Nervous System Diseases/physiopathology ; Peripheral Nervous System Diseases/virology ; Steroids/therapeutic use
Chemical Substances	Antibodies, Viral ; DNA, Viral ; Immunoglobulins, Intravenous ; Steroids
Language	English
Publishing date	2014-01-24
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
ZDB-ID	1086043-5
ISSN	1099-1654 ; 1052-9276
ISSN (online)	1099-1654
ISSN	1052-9276
DOI	10.1002/rmv.1782
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Article ; Online: Human parvovirus B19 and autoimmune diseases. Review of the literature and pathophysiological hypotheses.

Page, Cyril / François, Catherine / Goëb, Vincent / Duverlie, Gilles

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology

2015 Volume 72, Page(s) 69–74

Abstract: A number of arguments support the role played by PVB19 in autoimmunity, in the broad sense of the term essentially derived from numerous clinical case reports and/or small series over the past 20-30 years in the medical literature. PVB19 can induce a ... ...

Abstract	A number of arguments support the role played by PVB19 in autoimmunity, in the broad sense of the term essentially derived from numerous clinical case reports and/or small series over the past 20-30 years in the medical literature. PVB19 can induce a very broad spectrum of autoantibody production, especially including: anti-soluble nuclear antigen antibodies, antiphospholipid antibodies anti-native DNA antibodies, antilymphocyte antibody, anticardiolipin antibodies, antinuclear antibodies and rheumatoid factor. Notably acute PVB19 infection can mimic or stimulate autoimmune systemic diseases as rheumatoid arthritis or systemic lupus erythematosus. However, at the present time, there is no formal scientific evidence demonstrating a direct role of PVB19 in autoimmunity, bearing in mind that there are also no formal arguments against it. Further large studies are needed to understand the eventual role of PVB19 in autoimmune diseases.
MeSH term(s)	Autoimmune Diseases/epidemiology ; Autoimmune Diseases/etiology ; Humans ; Parvoviridae Infections/complications ; Parvoviridae Infections/virology ; Parvovirus B19, Human/isolation & purification
Language	English
Publishing date	2015-11
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	1446080-4
ISSN	1873-5967 ; 1386-6532
ISSN (online)	1873-5967
ISSN	1386-6532
DOI	10.1016/j.jcv.2015.09.007
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Article ; Online: Human parvovirus B19-induced aplastic crisis in an adult patient with hereditary spherocytosis: a case report and review of the literature.

Kobayashi, Yujin / Hatta, Yoshihiro / Ishiwatari, Yusaku / Kanno, Hitoshi / Takei, Masami

BMC research notes

2014 Volume 7, Page(s) 137

Abstract: ... with hereditary spherocytosis, no systematic reviews of adult patients with hereditary spherocytosis with human parvovirus B19 ... with aplastic crisis due to the human parvovirus B19 infection.: Conclusion: We collected and reviewed ... Background: Although there are several case reports of human parvovirus B19 infection in patients ...

Abstract	Background: Although there are several case reports of human parvovirus B19 infection in patients with hereditary spherocytosis, no systematic reviews of adult patients with hereditary spherocytosis with human parvovirus B19 infection have been published as clinical case reports. In this study, we report a case of aplastic crisis due to human parvovirus B19 infection in an adult patient with hereditary spherocytosis. Case presentation: A 33-year-old woman with hereditary spherocytosis and gallstones was admitted because of rapid progress in marked anemia and fever. Although empiric antibiotic therapy was prescribed, her clinical symptoms and liver function test worsened. Because the anti-human parvovirus B19 antibody and deoxyribonucleic acid levels assessed by polymerase chain reaction were positive, the patient was diagnosed with aplastic crisis due to the human parvovirus B19 infection. Conclusion: We collected and reviewed several case reports of patients with hereditary spherocytosis aged > 18 years with human parvovirus B19 infection between 1984 and 2010. A total of 19 reports with 22 cases [median age, 28 years (range, 18-43 range); male: female ratio, 6:16], including the present case were identified. The male-to-female ratio of 6:16 implied that younger females were predominantly affected. Although fever and abdominal symptoms were common initial symptoms, liver dysfunction or skin eruptions were less commonly documented. Anti-human parvovirus B19 antibody or deoxyribonucleic acid levels assessed by polymerase chain reaction was commonly used to diagnose human parvovirus B19 infection and may be useful to distinguish human parvovirus B19 infection from other abdominal infection in patients with hereditary spherocytosis.
MeSH term(s)	Adolescent ; Adult ; Anemia, Aplastic/complications ; Anemia, Aplastic/diagnosis ; Ankyrins/deficiency ; Antibodies, Viral/immunology ; DNA, Viral/genetics ; Female ; Host-Pathogen Interactions ; Humans ; Male ; Parvoviridae Infections/complications ; Parvoviridae Infections/diagnosis ; Parvoviridae Infections/virology ; Parvovirus B19, Human/genetics ; Parvovirus B19, Human/immunology ; Parvovirus B19, Human/physiology ; Polymerase Chain Reaction ; Spherocytosis, Hereditary/complications ; Young Adult
Chemical Substances	Ankyrins ; Antibodies, Viral ; DNA, Viral
Language	English
Publishing date	2014-03-11
Publishing country	England
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2413336-X
ISSN	1756-0500 ; 1756-0500
ISSN (online)	1756-0500
ISSN	1756-0500
DOI	10.1186/1756-0500-7-137
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