Tratschin J D, Siegl G
Institut für Hygiene und medizinische Mikrobiologie der Universität Bern.
Schweiz Med Wochenschr. 1988 Mar 12;118(10):347-53.
Since 1981 an increasing number of human parvovirus infections have been reported. There is now clear evidence that parvovirus B19 is the causative agent of erythema infectiosum (fifth disease). Further clinical situations associated with this virus include aplastic crisis in patients with hemolytic anemia and acute and persistent arthropathies preferentially occurring in adult women. Transplacental infection during pregnancy may result in hydrops foetalis, intrauterine death and spontaneous abortion. Additional, thus far barely characterized parvoviruses have been isolated from individuals with enteritis or rheumatoid arthritis. The present review summarizes today's knowledge of the biological properties and relevance of human parvoviruses as pathogens. The potentialities and limitations of laboratory diagnosis in parvovirus infections are discussed.
自1981年以来,已报告了越来越多的人类细小病毒感染病例。现在有明确证据表明,细小病毒B19是传染性红斑(第五病)的病原体。与该病毒相关的其他临床情况包括溶血性贫血患者的再生障碍危象以及主要发生在成年女性中的急性和持续性关节病。怀孕期间的经胎盘感染可能导致胎儿水肿、宫内死亡和自然流产。另外,已从患有肠炎或类风湿性关节炎的个体中分离出了迄今几乎未被表征的其他细小病毒。本综述总结了目前关于人类细小病毒作为病原体的生物学特性和相关性的知识。讨论了细小病毒感染实验室诊断的潜力和局限性。