Hemolytic Crisis as the Initial Presentation of Hereditary Spherocytosis Induced by Parvovirus B19 and Herpes Virus Infection in a Patient with the Thalassemia Trait: A Case Report

Journal Title: Turkish Journal of Hematology - Year 2012, Vol 29, Issue 4

Abstract

To the Editor, Human parvovirus B19 (PV-B19) causes erythema infectiosum, hydrops fetalis, and transient aplastic crisis in immunocompromised patients with chronic hemolytic anemia, arthralgia, and chronic pure red cell aplasia [1]. It may also cause autoimmune hemolytic anemia [2] (which presents as aplastic crisis with reticulocytopenia or increased erythropoiesis with reticulocytosis) [3], autoimmune thrombocytopenia/neutropenia, myelodysplastic syndrome, leukoerythroblastosis, hemophagocytic lymphohistiocytosis, and leukemia [1]. Transient aplastic crisis manifests as sudden exacerbation of anemia in patients with chronic hemolytic anemia, with severe reticulocytopenia lasting 7-10 days in the absence of erythroid precursors due to lysis of the precursors by PV-B19 [4]—the hallmark of which is giant pronormoblasts in the bone marrow [5].

Authors and Affiliations

Meriç Cihan, Hafize Gökçe, Meral Oruç, Lale Olcay

Keywords

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  • EP ID EP132332
  • DOI 10.5505/tjh.2012.96977
  • Views 63
  • Downloads 0

How To Cite

Meriç Cihan, Hafize Gökçe, Meral Oruç, Lale Olcay (2012). Hemolytic Crisis as the Initial Presentation of Hereditary Spherocytosis Induced by Parvovirus B19 and Herpes Virus Infection in a Patient with the Thalassemia Trait: A Case Report. Turkish Journal of Hematology, 29(4), 425-426. https://europub.co.uk/articles/-A-132332