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Cilla N, Domitien L, Arrada N, Chiffre D, Mahe P, Vincent L, Aguilar-Martinez P, Foulongne V. Transient aplastic crisis triggered by parvovirus B19 in a family with hereditary spherocytosis. IDCases 2020; 21:e00802. [PMID: 32461906 PMCID: PMC7242858 DOI: 10.1016/j.idcr.2020.e00802] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 05/05/2020] [Accepted: 05/05/2020] [Indexed: 12/14/2022] Open
Abstract
Acute parvovirus B19 infection may lead to erythroblastopenia crisis in patients with underlying red blood cells disorders. We report herein an uncommon concomitant transient aplastic crisis in a mother and her daughter, both affected by hereditary spherocytosis. The diagnosis was confirmed by the detection of a very high parvovirus B19 DNA load in both the mother’s and daughter’s sera, associated with the presence of parvovirus B19 specific immunoglobulin-M antibodies. This rapid etiologic diagnosis allowed to save bone marrow sampling, although blood transfusion was required regarding the severe anemia associated with pancytopenia. Our observation illustrates first line parvovirus B19 hypothesis in the context of transient aplastic crisis and that contagiousness in household contacts should be considered in family with a medical history of red blood cell pathology.
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Affiliation(s)
- Nicolas Cilla
- Department of Clinical Hematology, Montpellier University Hospital, 34295, Montpellier, France
| | - Léa Domitien
- Division of Hematologic Diseases, Department of Pediatrics, Montpellier University Hospital, University Montpellier, Montpellier, France
| | - Neila Arrada
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, Montpellier University Medical Centre, 34090, Montpellier, France
| | - Delphine Chiffre
- Department of Biological Hematology, Montpellier University Medical Centre & University of Montpellier, Montpellier, France
| | - Perrine Mahe
- Division of Hematologic Diseases, Department of Pediatrics, Montpellier University Hospital, University Montpellier, Montpellier, France.,Reference Center on Rare Red Cell Disorders, Montpellier University Medical Centre, Montpellier, France
| | - Laure Vincent
- Department of Clinical Hematology, Montpellier University Hospital, 34295, Montpellier, France
| | - Patricia Aguilar-Martinez
- Department of Biological Hematology, Montpellier University Medical Centre & University of Montpellier, Montpellier, France.,Reference Center on Rare Red Cell Disorders, Montpellier University Medical Centre, Montpellier, France
| | - Vincent Foulongne
- Pathogenesis and Control of Chronic Infections, University of Montpellier, INSERM, EFS, Montpellier University Medical Centre, 34090, Montpellier, France
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[Acute erythroblastopenia due to Parvovirus B19 revealing hereditary spherocytosis]. Arch Pediatr 2011; 18:990-2. [PMID: 21820287 DOI: 10.1016/j.arcped.2011.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2011] [Revised: 04/04/2011] [Accepted: 06/15/2011] [Indexed: 11/24/2022]
Abstract
Acute Parvovirus B19 infection is responsible for blocking the erythroblastic line, usually with no consequences on hematopoiesis except in patients with chronic hemolytic anemia in whom it can evolve to potentially serious acute anemia. We report 2 observations of acute erythroblastopenia revealing hereditary spherocytosis in 2 children (1 boy and 1 girl) of non-consanguineous parents.
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