2017
DOI: 10.1007/s13365-017-0562-8
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Parvovirus B19 infection associated with hemolytic anemia and cranial polyneuropathy

Abstract: Parvovirus B19 (PB19) is a common, widespread, small, single-stranded DNA virus which has been linked with a broad spectrum of clinical illnesses, including a variety of neurological complications such as encephalitis, meningitis, myelitis, stroke, cerebellar ataxia, and neuropathy. The authors describe a case of PB19 infection associated with hemolytic anemia and cranial polyneuropathy involving the second and third cranial nerves in a 23-year-old immunocompetent woman. The diagnosis of acute PB19 infection w… Show more

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Cited by 6 publications
(6 citation statements)
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“…Anti-GD1b AGAs were described in a case report by Sequeira et al in a 23-year-old immunocompetent woman with a PB19 infection associated with hemolytic anemia and cranial polyneuropathy. 123 While in some cases the associations between viral infections and GBS may be coincidental, it is possible that viral infections could lead to autoimmunity e.g., by exposing endogenous structures. One possibility is that a viral infection of cells may force them to release cell membrane particles containing gangliosides, e.g., from the membrane rafts, which then, in association with viral structures, could lead to a bystander-type autoimmune response.…”
Section: Infections Associated With Gbs Development Campylobacter Jejunimentioning
confidence: 99%
“…Anti-GD1b AGAs were described in a case report by Sequeira et al in a 23-year-old immunocompetent woman with a PB19 infection associated with hemolytic anemia and cranial polyneuropathy. 123 While in some cases the associations between viral infections and GBS may be coincidental, it is possible that viral infections could lead to autoimmunity e.g., by exposing endogenous structures. One possibility is that a viral infection of cells may force them to release cell membrane particles containing gangliosides, e.g., from the membrane rafts, which then, in association with viral structures, could lead to a bystander-type autoimmune response.…”
Section: Infections Associated With Gbs Development Campylobacter Jejunimentioning
confidence: 99%
“…31 The third nerve may be affected by the infections in the central nervous system and has been reported in association with tuberculosis, syphilis, Fusobacterium, Streptococcus pyogenes, cysticercosis, Lyme disease, group B streptococcus, Epstein-Barr virus, parvovirus, Cryptococcus, neurobrucellosis, and others. [32][33][34][35][36][37][38][39][40][41][42] Compression by neoplasms in the subarachnoid space is an infrequent cause of TNP.…”
Section: Clinical Pearlmentioning
confidence: 99%
“…The cases reported so far are heterogeneous. B19 encephalitis has no distinctive features compared to encephalitis caused by other pathogens, except from symptoms appearing in some patients (arthritis, rash and anemia) [2], and it can occur in immunocompetent patients without any typical features of B19 infections [4]; therefore the physician cannot depend on the absence of symptoms associated with B19 infections. Anemia mainly occurs in immunocompromised patients.…”
Section: Commentmentioning
confidence: 99%
“…Anemia mainly occurs in immunocompromised patients. Arthropathy and rash are more common in immunocompetent patients [4]. Clinical presentation of B19-associated encephalitis includes nonspecific symptoms like headache, fever, lymphadenopathy and flu-like symptoms [6].…”
Section: Commentmentioning
confidence: 99%
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