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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

Overview of attention for article published in Journal of Medical Case Reports, March 2015
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Title
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
Published in
Journal of Medical Case Reports, March 2015
DOI 10.1186/s13256-015-0542-7
Pubmed ID
Authors

Chi-Ching Chen, Chin-Shan Chen, Wei-Yao Wang, Jui-Shan Ma, Hwei-Fan Shu, Frank S Fan

Abstract

Parvovirus B19 virus commonly causes subclinical infection, but it can prove fatal to the fetus during pregnancy and cause severe anemia in an adult with hemolytic diseases. We present the case of a woman with autoimmune hemolytic anemia who was diagnosed with parvovirus B19-induced transient aplastic crisis during her second trimester of pregnancy and faced the high risk of both fetal and maternal complications related to this specific viral infection. To the best of our knowledge, the experience of successful intravenous immunoglobulin treatment for B19 virus infection during pregnancy, as in our case, is limited. A 28-year-old and 20-week pregnant Chinese woman with genetically confirmed alpha-thalassemia trait was diagnosed with cold antibody autoimmune hemolytic anemia and suffered from transient aplastic crisis caused by B19 virus infection. She received intravenous immunoglobulin treatment to reduce the risk of hydrops fetalis. Her peripheral blood reticulocyte percentage recovered, but anemia persisted, so she underwent several courses of high dose intravenous dexamethasone for controlling her underlying hemolytic problem. Finally, her hemoglobin levels remained stable with no need of erythrocyte transfusion, and a healthy baby boy was naturally delivered. Parvovirus B19 virus infection should be considered when a sudden exacerbation of anemia occurs in a patient with hemolytic disease, and the possible fetal complications caused by maternal B19 virus infection during pregnancy should not be ignored. Close monitoring and adequate management can keep both mother and fetus safe.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 3%
Unknown 28 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 17%
Unspecified 3 10%
Researcher 3 10%
Student > Doctoral Student 2 7%
Student > Postgraduate 2 7%
Other 6 21%
Unknown 8 28%
Readers by discipline Count As %
Medicine and Dentistry 10 34%
Unspecified 3 10%
Biochemistry, Genetics and Molecular Biology 2 7%
Nursing and Health Professions 2 7%
Veterinary Science and Veterinary Medicine 1 3%
Other 4 14%
Unknown 7 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 June 2018.
All research outputs
#20,273,512
of 22,805,349 outputs
Outputs from Journal of Medical Case Reports
#3,478
of 3,916 outputs
Outputs of similar age
#218,672
of 259,016 outputs
Outputs of similar age from Journal of Medical Case Reports
#27
of 38 outputs
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We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.