Spontaneous resolution of hemophagocytic syndrome associated with acute parvovirus B19 infection and concomitant Epstein-Barr virus reactivation in an otherwise healthy adult

Reported here is the case of a patient who spontaneously recovered from hemophagocytic syndrome associated with acute B19 infection and concomitant Epstein-Barr virus reactivation. The previously healthy 37-year-old-man was hospitalized after 10 days of high fever, arthralgia and arthritis and was d...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2002-10, Vol.21 (10), p.739-742
Hauptverfasser: LARROCHE, C, SCIEUX, C, HONDERLICK, P, PIETTE, A. M, MORINET, F, BLETRY, O
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container_title European journal of clinical microbiology & infectious diseases
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creator LARROCHE, C
SCIEUX, C
HONDERLICK, P
PIETTE, A. M
MORINET, F
BLETRY, O
description Reported here is the case of a patient who spontaneously recovered from hemophagocytic syndrome associated with acute B19 infection and concomitant Epstein-Barr virus reactivation. The previously healthy 37-year-old-man was hospitalized after 10 days of high fever, arthralgia and arthritis and was determined to have hemophagocytic syndrome. Immunoglobulin (Ig) M antibodies to Epstein-Barr virus (EBV) capsid antigen, early antigen and parvovirus B19 (B19) were found. B19 DNA and low-level EBV DNA were detected in bone marrow, serum and peripheral blood mononuclear cells. The patient recovered spontaneously without any treatment. Two months later anti-B19 IgG antibodies were detected, while at 9-month follow-up, anti-B19 IgM antibodies were no longer detectable and B19 DNA had disappeared from serum. To the best of our knowledge, this is the first report of spontaneous resolution of hemophagocytic syndrome associated with acute B19 infection and concomitant EBV reactivation in an otherwise healthy adult.
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To the best of our knowledge, this is the first report of spontaneous resolution of hemophagocytic syndrome associated with acute B19 infection and concomitant EBV reactivation in an otherwise healthy adult.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-002-0793-2</identifier><identifier>PMID: 12415473</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Acute Disease ; Adult ; Antibodies ; Antigens ; Arthralgia ; Arthritis ; Biological and medical sciences ; Bone marrow ; Deoxyribonucleic acid ; DNA ; Epstein-Barr virus ; Epstein-Barr Virus Infections - complications ; Epstein-Barr Virus Infections - diagnosis ; Epstein-Barr Virus Infections - immunology ; Fever ; Follow-Up Studies ; Hemophagocytic syndrome ; Histiocytosis, Non-Langerhans-Cell - complications ; Histiocytosis, Non-Langerhans-Cell - diagnosis ; Histiocytosis, Non-Langerhans-Cell - immunology ; Human viral diseases ; Humans ; Immunocompetence ; Immunoglobulin G ; Immunoglobulin M ; Infectious diseases ; Leukocytes (mononuclear) ; Male ; Medical sciences ; Parvoviridae Infections - complications ; Parvoviridae Infections - diagnosis ; Parvoviridae Infections - immunology ; Parvovirus B19 ; Parvovirus B19, Human - isolation &amp; purification ; Parvoviruses ; Patients ; Peripheral blood mononuclear cells ; Remission, Spontaneous ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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M</creatorcontrib><creatorcontrib>MORINET, F</creatorcontrib><creatorcontrib>BLETRY, O</creatorcontrib><title>Spontaneous resolution of hemophagocytic syndrome associated with acute parvovirus B19 infection and concomitant Epstein-Barr virus reactivation in an otherwise healthy adult</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>Reported here is the case of a patient who spontaneously recovered from hemophagocytic syndrome associated with acute B19 infection and concomitant Epstein-Barr virus reactivation. The previously healthy 37-year-old-man was hospitalized after 10 days of high fever, arthralgia and arthritis and was determined to have hemophagocytic syndrome. Immunoglobulin (Ig) M antibodies to Epstein-Barr virus (EBV) capsid antigen, early antigen and parvovirus B19 (B19) were found. B19 DNA and low-level EBV DNA were detected in bone marrow, serum and peripheral blood mononuclear cells. The patient recovered spontaneously without any treatment. Two months later anti-B19 IgG antibodies were detected, while at 9-month follow-up, anti-B19 IgM antibodies were no longer detectable and B19 DNA had disappeared from serum. 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Immunoglobulin (Ig) M antibodies to Epstein-Barr virus (EBV) capsid antigen, early antigen and parvovirus B19 (B19) were found. B19 DNA and low-level EBV DNA were detected in bone marrow, serum and peripheral blood mononuclear cells. The patient recovered spontaneously without any treatment. Two months later anti-B19 IgG antibodies were detected, while at 9-month follow-up, anti-B19 IgM antibodies were no longer detectable and B19 DNA had disappeared from serum. To the best of our knowledge, this is the first report of spontaneous resolution of hemophagocytic syndrome associated with acute B19 infection and concomitant EBV reactivation in an otherwise healthy adult.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12415473</pmid><doi>10.1007/s10096-002-0793-2</doi><tpages>4</tpages></addata></record>
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identifier ISSN: 0934-9723
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source MEDLINE; SpringerLink Journals
subjects Acute Disease
Adult
Antibodies
Antigens
Arthralgia
Arthritis
Biological and medical sciences
Bone marrow
Deoxyribonucleic acid
DNA
Epstein-Barr virus
Epstein-Barr Virus Infections - complications
Epstein-Barr Virus Infections - diagnosis
Epstein-Barr Virus Infections - immunology
Fever
Follow-Up Studies
Hemophagocytic syndrome
Histiocytosis, Non-Langerhans-Cell - complications
Histiocytosis, Non-Langerhans-Cell - diagnosis
Histiocytosis, Non-Langerhans-Cell - immunology
Human viral diseases
Humans
Immunocompetence
Immunoglobulin G
Immunoglobulin M
Infectious diseases
Leukocytes (mononuclear)
Male
Medical sciences
Parvoviridae Infections - complications
Parvoviridae Infections - diagnosis
Parvoviridae Infections - immunology
Parvovirus B19
Parvovirus B19, Human - isolation & purification
Parvoviruses
Patients
Peripheral blood mononuclear cells
Remission, Spontaneous
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Viruses
title Spontaneous resolution of hemophagocytic syndrome associated with acute parvovirus B19 infection and concomitant Epstein-Barr virus reactivation in an otherwise healthy adult
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