可能通过造血干细胞移植传播的细小病毒B19感染所致的纯红细胞再生障碍性贫血。

Pure red cell aplasia due to parvovirus B19 infection transmitted probably through hematopoietic stem cell transplantation.

作者信息

Wasak-Szulkowska E, Grabarczyk P, Rzepecki P

机构信息

Department of Hematology, Military Medical Institute, Warsaw, Poland.

出版信息

Transpl Infect Dis. 2008 Jun;10(3):201-5. doi: 10.1111/j.1399-3062.2007.00266.x. Epub 2007 Jul 12.

Abstract

Human parvovirus B19 is a very common infectious pathogen in humans. In healthy subjects, B19 infection is the cause of a self-limiting subclinical erythroid aplasia, followed by rash or arthralgia. In immunocompromised patients B19 can cause chronic anemia. This report presents the case of a 19-year-old male who developed severe anemia shortly after successful allogeneic hematopoietic stem cell transplantation. His marrow showed selective erythroid aplasia, and real-time polymerase chain reaction assay confirmed parvovirus B19 infection. Despite repeated high-dose immunoglobulin treatment, he remained anemic. His hematological status markedly improved after cessation of immunosuppression. Retrospective examination of the donor's blood suggests that hematopoietic stem cells could be the source of infection.

摘要

人细小病毒B19是人类一种非常常见的传染性病原体。在健康个体中,B19感染是自限性亚临床红系造血停滞的病因,随后会出现皮疹或关节痛。在免疫功能低下的患者中,B19可导致慢性贫血。本报告介绍了一名19岁男性的病例,该患者在成功进行异基因造血干细胞移植后不久出现严重贫血。其骨髓显示选择性红系造血停滞,实时聚合酶链反应检测证实存在细小病毒B19感染。尽管反复进行高剂量免疫球蛋白治疗,他仍处于贫血状态。在停止免疫抑制后,他的血液学状况明显改善。对供体血液的回顾性检查表明,造血干细胞可能是感染源。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索