Bloom M C, Rolland M, Bernard J D, Fournié A, Berrebi A, Régnier C
Service de Médecine Infantile B, CHU Purpan, Toulouse.
Arch Fr Pediatr. 1990 Jun-Jul;47(6):437-9.
A case of meconium peritonitis associated with materno-fetal infection by human B19 parvovirus is reported. The meconium peritonitis was recognized by ultrasonography at 25 weeks of pregnancy and was confirmed after delivery. Postnatal "opaque index" of the small bowel revealed multiple stenosis. Evolution was favorable and did not require surgery. Diagnosis of B19 parvovirus materno-foetal infection was documented on specific IgM antibodies and viral DNA in the maternal serum and specific IgM antibodies in the infant's serum. Thus, B19 parvovirus appears to be responsible for non lethal fetopathies.
报告了一例与人类B19细小病毒母婴感染相关的胎粪性腹膜炎病例。胎粪性腹膜炎在妊娠25周时通过超声检查发现，并在分娩后得到证实。产后小肠“不透明指数”显示多处狭窄。病情进展良好，无需手术。通过母体血清中的特异性IgM抗体和病毒DNA以及婴儿血清中的特异性IgM抗体确诊为B19细小病毒母婴感染。因此，B19细小病毒似乎是导致非致死性胎儿疾病的原因。
