Department of Pediatrics, HAGA Hospital, Juliana's Childrens Hospital, The Hague, The Netherlands.
Prenat Diagn. 2011 May;31(5):419-25. doi: 10.1002/pd.2714. Epub 2011 Feb 24.
In this article, we review the virology, pathology, epidemiology and clinical spectrum of intrauterine human parvovirus B19 (B19V) infection, including intrauterine fetal death, non-immune hydrops fetalis, thrombocytopenia and neurological manifestations such as pediatric stroke and perivascular calcifications. In addition, we discuss the new insights into the neurodevelopmental outcome of intrauterine B19V infection. Current diagnosis and management of B19V infection is summarized, including a diagnostic and follow-up flowchart for practical clinical use.
本文综述了宫内人细小病毒 B19(B19V)感染的病毒学、病理学、流行病学和临床特征,包括宫内胎儿死亡、非免疫性胎儿水肿、血小板减少以及儿科中风和血管周围钙化等神经表现。此外,我们还讨论了宫内 B19V 感染对神经发育结局的新认识。总结了目前 B19V 感染的诊断和治疗方法,包括用于临床实际的诊断和随访流程图。