Olejniczak Olga, Kornacki Jakub, Boroń Daniel, Gutaj Paweł, Iciek Rafał, Wender-Ożegowska Ewa
Department of Reproduction, Chair of Reproduction and Perinatal Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Doctoral School, Poznan University of Medical Sciences, 60-701 Poznan, Poland.
Children (Basel). 2024 Aug 24;11(9):1037. doi: 10.3390/children11091037.
Parvovirus B19 is a virus that causes a common and usually harmless infection in both children and adults. If the virus is transmitted transplacentally during pregnancy, it can have serious consequences for both the pregnant woman and the fetus. Potential complications include severe fetal anemia, which can lead to intrauterine fetal death. A common ultrasound finding in fetuses affected by parvovirus B19 is fetal edema, which is associated with a poor prognosis. Additionally, a rare but serious complication in pregnant women with parvovirus B19 infection is mirror syndrome. The diagnosis of parvovirus B19 infection during pregnancy necessitates close monitoring of the fetal condition. If fetal anemia is suspected, intrauterine transfusion is indicated to increase fetal survival. This study presents eight cases of parvovirus B19 infection in pregnant women, highlighting the various maternal-fetal complications encountered, along with diagnostic and treatment strategies.
细小病毒B19是一种在儿童和成人中引起常见且通常无害感染的病毒。如果该病毒在孕期经胎盘传播,可能会对孕妇和胎儿都造成严重后果。潜在并发症包括严重的胎儿贫血,这可能导致胎儿宫内死亡。感染细小病毒B19的胎儿常见的超声检查结果是胎儿水肿,这与预后不良有关。此外,感染细小病毒B19的孕妇中一种罕见但严重的并发症是镜像综合征。孕期细小病毒B19感染的诊断需要密切监测胎儿状况。如果怀疑胎儿贫血,应进行宫内输血以提高胎儿存活率。本研究呈现了8例孕妇感染细小病毒B19的病例,突出了所遇到的各种母胎并发症以及诊断和治疗策略。