Acute Parvovirus B19 Infection Leading to Severe Aplastic Anemia in a Previously Healthy Adult Female

  • Rajesh Rajput
  • Ashish Sehgal
  • Deepak Jain
  • Rajeev Sen
  • Abhishek Gupta
Case Report

Abstract

Human Parvovirus B19 has been linked to a variety of diseases. One of the most common complications is transient aplastic crisis in patients with chronic hemolytic anemia. Very few case reports have implicated this virus as a putative etiology behind hepatitis and severe aplastic anemia in immuno competent individuals. We report a case of severe aplastic anemia in a previously healthy adult female due to acute parvovirus B19 infection. Laboratory examination showed pancytopenia in peripheral blood and severe hypoplastic bone marrow on biopsy. Serological analysis (ELISA) revealed acute Parvovirus B19 infection. In the face of unavailable HLA matched bone marrow donor, immuno-supressive therapy was contemplated, but could not be given because of financial constraints. Pancytopenia persists till date, 4 months after the diagnosis, with the patient requiring repeated packed red cell and irradiated platelet transfusions. Thus, acute infection with this virus must be considered a cause of acquired aplastic anemia even in individuals without underlying disease.

Notes

Acknowledgment

The authors thank Dr. Shashi Khare, Additional Director and Head (microbiology), National Centre for Disease Control, New Delhi, for kindly providing the details of ELISA kit used for detecting IgM Parvovirus B19 antibodies.

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Copyright information

© Indian Society of Haematology & Transfusion Medicine 2011

Authors and Affiliations

  • Rajesh Rajput
    • 1
    • 4
  • Ashish Sehgal
    • 2
  • Deepak Jain
    • 2
  • Rajeev Sen
    • 3
  • Abhishek Gupta
    • 2
  1. 1.Department of Medicine Unit VII and EndocrinologyPt. B.D. Sharma PGIMSRohtakIndia
  2. 2.Department of MedicinePt. B.D. Sharma PGIMSRohtakIndia
  3. 3.Department of PathologyPt. B.D. Sharma PGIMSRohtakIndia
  4. 4.RohtakIndia

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