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Parvovirus
Janice L. B. Byrne, MD; Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • B19V
                • Parvovirus, parvo
              • Definitions

                • Erythema infectiosum (fifth disease in children)
                • Major clinical manifestation of fetal infection with parvovirus B19 is triad of anemia, heart failure, hydrops

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Attwood LO et al: Identification and management of congenital parvovirus B19 infection. Prenat Diagn. 40(13):1722-31, 2020
                                      2. Khalil A et al: ISUOG practice guidelines: role of ultrasound in congenital infection. Ultrasound Obstet Gynecol. 56(1):128-51, 2020
                                      3. Sánchez-Durán MÁ et al: Perinatal outcomes and central nervous system abnormalities following intrauterine fetal transfusion: 17years' experience in a tertiary center. Transfusion. 60(11):2557-64, 2020
                                      4. Manaresi E et al: Advances in the development of antiviral strategies against parvovirus B19. Viruses. 11(7), 2019
                                      5. Martinez-Portilla RJ et al: Performance of fetal middle cerebral artery peak systolic velocity for prediction of anemia in untransfused and transfused fetuses: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 54(6):722-31, 2019
                                      6. Bascietto F et al: Outcome of fetuses with congenital parvovirus B19 infection: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 52(5):569-76, 2018
                                      7. American College of Obstetricians and Gynecologists: practice bulletin no. 151: cytomegalovirus, parvovirus B19, varicella zoster, and toxoplasmosis in pregnancy. Obstet Gynecol. 125(6):1510-25, 2015
                                      8. Chen CC et al: Parvovirus B19 infection presenting with severe erythroid aplastic crisis during pregnancy in a woman with autoimmune hemolytic anemia and alpha-thalassemia trait: a case report. J Med Case Rep. 9:58, 2015
                                      9. Ishikawa A et al: Quantitative analysis of human parvovirus B19 DNA in maternal and fetal serum, and amniotic fluid during an early stage of pregnancy. J Med Virol. 87(4):683-5, 2015
                                      10. Melamed N et al: Fetal thrombocytopenia in pregnancies with fetal human parvovirus-B19 infection. Am J Obstet Gynecol. 212(6):793.e1-8, 2015
                                      11. Crane J et al: Parvovirus B19 infection in pregnancy. J Obstet Gynaecol Can. 36(12):1107-16, 2014
                                      12. Macé G et al: Clinical presentation and outcome of 20 fetuses with parvovirus B19 infection complicated by severe anemia and/or fetal hydrops. Prenat Diagn. 34(11):1023-30, 2014
                                      13. Fishman SG et al: Parvovirus-mediated fetal cardiomyopathy with atrioventricular nodal disease. Pediatr Cardiol. 32(1):84-6, 2011
                                      14. Enders M et al: Risk of fetal hydrops and non-hydropic late intrauterine fetal death after gestational parvovirus B19 infection. J Clin Virol. 49(3):163-8, 2010
                                      15. Simms RA et al: Management and outcome of pregnancies with parvovirus B19 infection over seven years in a tertiary fetal medicine unit. Fetal Diagn Ther. 25(4):373-8, 2009
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • B19V
                                                    • Parvovirus, parvo
                                                  • Definitions

                                                    • Erythema infectiosum (fifth disease in children)
                                                    • Major clinical manifestation of fetal infection with parvovirus B19 is triad of anemia, heart failure, hydrops

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Attwood LO et al: Identification and management of congenital parvovirus B19 infection. Prenat Diagn. 40(13):1722-31, 2020
                                                                          2. Khalil A et al: ISUOG practice guidelines: role of ultrasound in congenital infection. Ultrasound Obstet Gynecol. 56(1):128-51, 2020
                                                                          3. Sánchez-Durán MÁ et al: Perinatal outcomes and central nervous system abnormalities following intrauterine fetal transfusion: 17years' experience in a tertiary center. Transfusion. 60(11):2557-64, 2020
                                                                          4. Manaresi E et al: Advances in the development of antiviral strategies against parvovirus B19. Viruses. 11(7), 2019
                                                                          5. Martinez-Portilla RJ et al: Performance of fetal middle cerebral artery peak systolic velocity for prediction of anemia in untransfused and transfused fetuses: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 54(6):722-31, 2019
                                                                          6. Bascietto F et al: Outcome of fetuses with congenital parvovirus B19 infection: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 52(5):569-76, 2018
                                                                          7. American College of Obstetricians and Gynecologists: practice bulletin no. 151: cytomegalovirus, parvovirus B19, varicella zoster, and toxoplasmosis in pregnancy. Obstet Gynecol. 125(6):1510-25, 2015
                                                                          8. Chen CC et al: Parvovirus B19 infection presenting with severe erythroid aplastic crisis during pregnancy in a woman with autoimmune hemolytic anemia and alpha-thalassemia trait: a case report. J Med Case Rep. 9:58, 2015
                                                                          9. Ishikawa A et al: Quantitative analysis of human parvovirus B19 DNA in maternal and fetal serum, and amniotic fluid during an early stage of pregnancy. J Med Virol. 87(4):683-5, 2015
                                                                          10. Melamed N et al: Fetal thrombocytopenia in pregnancies with fetal human parvovirus-B19 infection. Am J Obstet Gynecol. 212(6):793.e1-8, 2015
                                                                          11. Crane J et al: Parvovirus B19 infection in pregnancy. J Obstet Gynaecol Can. 36(12):1107-16, 2014
                                                                          12. Macé G et al: Clinical presentation and outcome of 20 fetuses with parvovirus B19 infection complicated by severe anemia and/or fetal hydrops. Prenat Diagn. 34(11):1023-30, 2014
                                                                          13. Fishman SG et al: Parvovirus-mediated fetal cardiomyopathy with atrioventricular nodal disease. Pediatr Cardiol. 32(1):84-6, 2011
                                                                          14. Enders M et al: Risk of fetal hydrops and non-hydropic late intrauterine fetal death after gestational parvovirus B19 infection. J Clin Virol. 49(3):163-8, 2010
                                                                          15. Simms RA et al: Management and outcome of pregnancies with parvovirus B19 infection over seven years in a tertiary fetal medicine unit. Fetal Diagn Ther. 25(4):373-8, 2009