Abstract
We report a 3-year-old boy with enterohemorrhagic Escherichia coli (EHEC) O157-associated hemolytic uremic syndrome (HUS). His anemia was associated with decreased reticulocyte count and persisted after the recovery from HUS. Superinfection of parvovirus B19 (PVB19) was proven by a transient febrile episode associated with IgM antibodies to the virus and the delayed appearance of IgG antibodies and typical rashes. We conclude that PVB19 infection could induce severe persistent anemia in EHEC-associated HUS. Reticulocytopenia is a clue to the diagnosis in such cases.
References
Anderson MJ, Higgins PG, Davis LR, Willman JS, Jones SE, Kidd IM, Pattison JR, Tyrrell DA (1985) Experimental parvoviral infection in humans. J Infect Dis 152:257–265
Ieiri N, Hotta O, Taguma Y (2005) Characteristics of acute glomerulonephritis associated with human parvovirus B19 infection. Clin Nephrol 64:249–257
Murer L, Zacchello G, Bianchi D, Dall’Amico R, Montini G, Andreetta B, Perini M, Dossi EC, Zanon G, Zacchello F (2000) Thrombotic microangiopathy associated with parvovirus B 19 infection after renal transplantation. J Am Soc Nephrol 11:1132–1137
Pattison JR, Jones SE, Hodgson J, Davis LR, White JM, Stroud CE, Murtaza L (1981) Parvovirus infections and hypoplastic crisis in sickle-cell anaemia. Lancet 21(1):664–665
Tarr PI, Gordon CA, Chandler WL (2005) Shiga-toxin-producing Escherichia coli and haemolytic uraemic syndrome. Lancet 365:1073–1086
Young NS, Brown KE (2004) Parvovirus B19. N Engl J Med 350:586–597
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Orimo, K., Ukeba, Y., Koseki, N. et al. Prolonged anemia by superinfection of parvovirus B19 in a boy with enterohemorrhagic Escherichia coli O157-associated hemolytic uremic syndrome. Eur J Pediatr 168, 501–502 (2009). https://doi.org/10.1007/s00431-008-0783-1
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DOI: https://doi.org/10.1007/s00431-008-0783-1