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Life‐Threatening Parvovirus B19–Associated Myocarditis and Cardiac Transplantation as Possible Therapy: Two Case Reports
Author(s) -
Gisela Enders,
Jörg Dötsch,
J Bauer,
W. Nützenadel,
Hartmut Hengel,
Darrah Haffner,
Gunnar Schalasta,
Karen Searle,
Kevin Brown
Publication year - 1998
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/516295
Subject(s) - parvovirus , myocarditis , medicine , heart transplantation , serology , transplantation , immunology , parvoviridae , virology , polymerase chain reaction , virus , antibody , gene , biology , biochemistry
Parvovirus B19 infection can cause a wide spectrum of disease syndromes. Two cases of parvovirus B19 infection were identified that resulted in life-threatening myocarditis shortly after acute infection in immunocompetent individuals. The diagnosis was made with serological and polymerase chain reaction techniques. One patient was successfully treated by heart transplantation. Sequence analysis showed that the parvovirus B19 cloned from the patients' sera had 99% homology with the prototype sequence. Clinicians should be alerted to the possible role of parvovirus B19 in myocarditis presenting in immunocompetent patients.

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