scholarly journals Parvovirus B19 infection in sickle cell disease: An analysis from the Centers for Disease Control haemoglobinopathy blood surveillance project

2020 ◽  
Vol 30 (3) ◽  
pp. 226-230
Author(s):  
Suvankar Majumdar ◽  
Christopher J. Bean ◽  
Christine De Staercke ◽  
James Bost ◽  
Robert Nickel ◽  
...  
Author(s):  
Mohamed Almuqamam ◽  
◽  
Swetha Madhavarapu ◽  
Nataly Apollonsky ◽  
◽  
...  

Sickle Cell Disease (SCD) is an inherited hemoglobinopathy, which results in production of abnormal hemoglobin S. HbSC disease is a variant of SCD, which shares a similar clinical complication profile to HbSS disease, but often thought to be a milder condition. In patients with SCD, Hb S in deoxygenated state undergoes polymerization, leading to hemolysis, vaso-occlusive events, and eventually end-organ damage. Among other complications in patients with SCD is increased risk of complications caused by parvovirus B19. We present a case of a 14-year-old female with HbSC disease who presented to the emergency room with complaint of abdominal pain and found to have splenic sequestration. Splenic sequestration progressed rapidly, Hemoglobin (hb) dropped to 4.6 g/dl and acute chest syndrome (ACS) developed. She was treated following the ACS protocol, received 4 units of Packed Red Blood Cells (PRBC) and subsequently underwent a single volume PRBC exchange transfusion. Considering her unusual presentation, with severe ARDS from alveolar hemorrhage requiring mechanical ventilation and multi-organ injury, several autoimmune and infectious conditions with a cytokine storm component including COVID-19 disease, were considered. Results of viral testing revealed parvovirus B19 IgM antibodies signifying an acute infection. She fully recovered with supportive care and was discharged home. Multisystem involvement simulating connective tissue disorders or malignancies with acute parvovirus B19 infection has been reported and is considered extremely rare. To our knowledge, there were no reports of pediatric patients with SC disease presenting with splenic sequestration and ACS in the setting of parvovirus B19 multisystem disease. Keywords: sickle cell disease; acute respiratory distress syndrome; acute chest syndrome; parvovirus B19.


2014 ◽  
Vol 5 ◽  
pp. 1
Author(s):  
Daniele Don� ◽  
Federica Visentin ◽  
Eleonora Borgia ◽  
Stefania Scanferla ◽  
Carlo Giaquinto ◽  
...  

2010 ◽  
Vol 149 (2) ◽  
pp. 289-291 ◽  
Author(s):  
Lynn Quek ◽  
Claire Sharpe ◽  
Neelanjana Dutt ◽  
Sue Height ◽  
Marlene Allman ◽  
...  

2013 ◽  
Vol 17 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Svetoslav Nanev Slavov ◽  
Simone Kashima ◽  
Ana Cristina Silva-Pinto ◽  
Alberto Anastacio Amarilla ◽  
Victor Hugo Aquino ◽  
...  

The Lancet ◽  
2001 ◽  
Vol 358 (9295) ◽  
pp. 1779-1780 ◽  
Author(s):  
Beryl E Serjeant ◽  
Ian R Hambleton ◽  
Shane Kerr ◽  
Cormac G Kilty ◽  
Graham R Serjeant

2016 ◽  
Vol 241 (7) ◽  
pp. 749-754 ◽  
Author(s):  
Jane S Hankins ◽  
Rhiannon R Penkert ◽  
Paul Lavoie ◽  
Li Tang ◽  
Yilun Sun ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Pratik A. Patel ◽  
Elizabeth P. Weinzierl ◽  
Daniel S. Wechsler

Parvovirus B19 infection in pediatrics most commonly causes fifth disease, a mild viral illness. Hematologic manifestations include severe anemia, especially in patients with chronic hemolytic anemias or who are immunocompromised. Because of the shortened life span of erythrocytes in patients with sickle cell disease, parvovirus infection can cause transient aplastic crisis which can be life-threatening. However, leukocytosis and thrombocytosis are rarely seen. We report leukoerythroblastosis as an unusual presentation of acute parvovirus B19 infection in a previously splenectomized 12-year-old boy with sickle cell disease.


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