Atypical course of parvovirus B19 infection with combined infection (clinical observation)
The article describes a clinical case of atypical severe course of parvovirus B19 infection, similar in its manifestations to meningococcal infection, with combined infection with Meningococcus, Hemophilus bacillus, influenza A virus. A patient hospitalized with acute respiratory disease and toxico...
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| Format: | Article |
| Language: | Russian |
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Journal Infectology
2023-04-01
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| Series: | Журнал инфектологии |
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| Online Access: | https://journal.niidi.ru/jofin/article/view/1481 |
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| author | O. N. Nikishov A. A. Kuzin A. Yu. Antipova I. N. Lavrentieva O. V. Maltsev K. V. Kozlov E. A. Antoniсhev S. N. Nikishov A. S. Sigidaev |
| author_facet | O. N. Nikishov A. A. Kuzin A. Yu. Antipova I. N. Lavrentieva O. V. Maltsev K. V. Kozlov E. A. Antoniсhev S. N. Nikishov A. S. Sigidaev |
| author_sort | O. N. Nikishov |
| collection | DOAJ |
| description | The article describes a clinical case of atypical severe course of parvovirus B19 infection, similar in its manifestations to meningococcal infection, with combined infection with Meningococcus, Hemophilus bacillus, influenza A virus. A patient hospitalized with acute respiratory disease and toxicoderma had new symptoms within 24 hours: headache, hemorrhagic rash, decrease in blood pressure to 80/50 mm Hg, fever up to 39.8 0C. Based on the symptoms, a preliminary clinical diagnosis was made: “Meningococcal infection, generalized form – meningococcemia, severe course. Infectious-toxic shock of the 2nd degree.” During laboratory examination of clinical samples of the patient by bacteriological, serological and molecular genetic methods, there was no growth of bacterial microflora in liquor, blood and smears from the pharynx and nose. Genetic material (DNA and RNA) of Neisseria meningitides, Haemophilus influenza and influenza A/H3N2 was detected in a smear from the nasal cavity. At the same time, parvovirus B19 DNA was isolated in the patient’s cerebrospinal fluid and blood in a high viral load (Ct 21.1 and Ct 4.9, respectively). The patient was found to have not only IgG, but also IgM antibodies to parvovirus B19, which is a confirmation of acute parvovirus B19 infection. A pronounced allergic reaction was confirmed by a high index of total IgE (1068 units/ml). Thus, we have described an atypical case of laboratoryconfirmed parvovirus B19 infection in the presence of bacterial-viral mixed infection and an allergic reaction in the patient. |
| format | Article |
| id | doaj-art-0dd5405d71cd42ebaa0d8c70ae7734ff |
| institution | DOAJ |
| issn | 2072-6732 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Journal Infectology |
| record_format | Article |
| series | Журнал инфектологии |
| spelling | doaj-art-0dd5405d71cd42ebaa0d8c70ae7734ff2025-08-20T03:02:20ZrusJournal InfectologyЖурнал инфектологии2072-67322023-04-0115112613310.22625/2072-6732-2023-15-1-126-1331064Atypical course of parvovirus B19 infection with combined infection (clinical observation)O. N. Nikishov0A. A. Kuzin1A. Yu. Antipova2I. N. Lavrentieva3O. V. Maltsev4K. V. Kozlov5E. A. Antoniсhev6S. N. Nikishov7A. S. Sigidaev8Military Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovResearch Institute of Epidemiology and Microbiology named after PasteurResearch Institute of Epidemiology and Microbiology named after PasteurMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMilitary Medical Academy named after S.M. KirovMordovia State University named after N.P. OgarevTyumen State Medical UniversityThe article describes a clinical case of atypical severe course of parvovirus B19 infection, similar in its manifestations to meningococcal infection, with combined infection with Meningococcus, Hemophilus bacillus, influenza A virus. A patient hospitalized with acute respiratory disease and toxicoderma had new symptoms within 24 hours: headache, hemorrhagic rash, decrease in blood pressure to 80/50 mm Hg, fever up to 39.8 0C. Based on the symptoms, a preliminary clinical diagnosis was made: “Meningococcal infection, generalized form – meningococcemia, severe course. Infectious-toxic shock of the 2nd degree.” During laboratory examination of clinical samples of the patient by bacteriological, serological and molecular genetic methods, there was no growth of bacterial microflora in liquor, blood and smears from the pharynx and nose. Genetic material (DNA and RNA) of Neisseria meningitides, Haemophilus influenza and influenza A/H3N2 was detected in a smear from the nasal cavity. At the same time, parvovirus B19 DNA was isolated in the patient’s cerebrospinal fluid and blood in a high viral load (Ct 21.1 and Ct 4.9, respectively). The patient was found to have not only IgG, but also IgM antibodies to parvovirus B19, which is a confirmation of acute parvovirus B19 infection. A pronounced allergic reaction was confirmed by a high index of total IgE (1068 units/ml). Thus, we have described an atypical case of laboratoryconfirmed parvovirus B19 infection in the presence of bacterial-viral mixed infection and an allergic reaction in the patient.https://journal.niidi.ru/jofin/article/view/1481parvovirus b19 infectionneisseria meningitideshaemophilus influenzainfluenza atoxicodermameningitisrashdiagnosis |
| spellingShingle | O. N. Nikishov A. A. Kuzin A. Yu. Antipova I. N. Lavrentieva O. V. Maltsev K. V. Kozlov E. A. Antoniсhev S. N. Nikishov A. S. Sigidaev Atypical course of parvovirus B19 infection with combined infection (clinical observation) Журнал инфектологии parvovirus b19 infection neisseria meningitides haemophilus influenza influenza a toxicoderma meningitis rash diagnosis |
| title | Atypical course of parvovirus B19 infection with combined infection (clinical observation) |
| title_full | Atypical course of parvovirus B19 infection with combined infection (clinical observation) |
| title_fullStr | Atypical course of parvovirus B19 infection with combined infection (clinical observation) |
| title_full_unstemmed | Atypical course of parvovirus B19 infection with combined infection (clinical observation) |
| title_short | Atypical course of parvovirus B19 infection with combined infection (clinical observation) |
| title_sort | atypical course of parvovirus b19 infection with combined infection clinical observation |
| topic | parvovirus b19 infection neisseria meningitides haemophilus influenza influenza a toxicoderma meningitis rash diagnosis |
| url | https://journal.niidi.ru/jofin/article/view/1481 |
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