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Review
. 2021 Apr 20;14(4):e239153.
doi: 10.1136/bcr-2020-239153.

Tale of two viruses: parvovirus B19 and HIV

Hayley Hernstadt  1   2 , Paul Randell  3 , Sarah Fidler  3 , Caroline Foster  4
Affiliations
Review

Tale of two viruses: parvovirus B19 and HIV

Hayley Hernstadt et al. BMJ Case Rep. .

Abstract

We present a HIV-infected patient who developed severe anaemia due to chronic parvovirus B19 infection and subsequently had an unplanned pregnancy. This is in the context of poor adherence to antiretroviral therapy and significant immunosuppression; there was a delay in diagnosis of chronic parvovirus infection due to attribution of anaemia to HIV. She received immunoglobulin therapy and effective antiretroviral therapy, with reduction in parvovirus load and improvement in anaemia. She was counselled regarding the need for monitoring in pregnancy due to risk of intrauterine infection. We review the literature of management of chronic parvovirus infection in the immunosuppressed and the consequences of intrauterine infection.

Keywords: HIV / AIDS; haematology (incl blood transfusion); infectious diseases; materno-fetal medicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Viral loads and CD4 counts over time. *One course of IVIG given at 500 mg/kg/day for 4 days. IVIG, intravenous immunoglobulin.
See this image and copyright information in PMC

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