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Tale of two viruses: parvovirus B19 and HIV.

Hayley HernstadtPaul RandellSarah FidlerCaroline Foster
Published in: BMJ case reports (2021)
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.
Keyphrases
  • antiretroviral therapy
  • hiv infected
  • human immunodeficiency virus
  • hiv positive
  • hiv aids
  • hiv infected patients
  • systematic review
  • preterm birth
  • type diabetes
  • stem cells
  • hiv testing
  • pregnancy outcomes