Parvovirus B19 infection in a liver transplant recipient: case report and review in organ transplant recipients

Clin Transplant. 1996 Jun;10(3):243-7.

Abstract

We report an adult liver transplant recipient with parvovirus B19 infection, presenting as chronic transfusion-dependent anemia ensuing 1 month post-transplantation. Both serum and bone marrow cells were positive for parvovirus B19 DNA detected by polymerase chain reaction. The bone marrow biopsy revealed erythroid hypoplasia with a selective decrease of nucleated red cell precursors, and giant pronormoblasts with prominent intranuclear inclusions, characteristic of parvovirus B19 infection. Anemia and viremia resolved shortly after administration of immunoglobulin, suggesting a therapeutic role. This case and several similar ones in the literature provide justification for a controlled clinical trial of immunoglobulin for parvovirus-induced anemia in transplant recipients.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Anemia / etiology
  • Humans
  • Immunization, Passive
  • Liver Transplantation*
  • Male
  • Parvoviridae Infections / diagnosis
  • Parvoviridae Infections / etiology*
  • Parvoviridae Infections / therapy
  • Parvovirus B19, Human*
  • Postoperative Complications