ID 98229
Title Transcription
ヒトパルボウイルス B19 ニヨル キュウセイ シンフゼン ガ ウタガワレタ 5ショウレイ ノ リンショウテキ ケントウ
Title Alternative
Clinical studies on 5 adult patients of suspected acute heart failure due to human parvovirus B19 infection
Author
Mitani, Hiroaki Mitani Clinic
Keywords
Parvovirus B19
heart failure
anemia
nephritis
Content Type
Journal Article
Description
The clinical and laboratory findings of 5 adult patients with recent human parvovirus B19 infection in Anan city (from January to February 2005) were reported. They showed local and generalized edema and/or arthritis. Clinical examinations showed relative neutrophilia with lymphcytopenia, anemia, hypocomlementemia in all patients and proteinuria with hematuria in 2 cases (No 2, 3). Erythema were recognized in only 2 younger cases (No 3, 5). Mean weight increase due to edema was 2.2Kg. All 5 patients were positive for human parvovirus B19 IgM/IgG antibody. After treatment, CTR decreased 8.0% on an average, and elevated BNP levels markedly declined one month later in 3 cases (No 2, 3, 4). %FS also reduced in these cases, and one case (No 4) observed slight degree of echo free space (probably pericardial effusion).
When human parvovirus B19 is prevalent, differential diagnosis of the symptoms such as anemia, dyspnea, oligouria and polyarthralgia are mandatory. If human parvovirus B19 infection is suspected, virus-related cardiomyopathy should be considered.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
61
Issue
5-6
Start Page
189
End Page
194
Sort Key
189
Published Date
2005-12-20
Remark
FullText File
language
jpn