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Neurological aspects of human parvovirus B19 infection: a systematic review
Open accessAbstract
SUMMARY: Parvovirus B19 has been linked with various clinical syndromes including neurological manifestations. However, its role in the latter remains not completely understood. Although the last 10 years witnessed a surge of case reports on B19‐associated neurological aspects, the literature data remains scattered and heterogeneous, and epidemiological information on the incidence of B19‐associated neurological aspects cannot be accurately extrapolated. The aim of this review is to identify the characteristics of cases of B19‐associated neurological manifestations. A computerized systematic review of existing literature concerning cases of B19‐related neurological aspects revealed 89 articles describing 129 patients; 79 (61.2%) were associated with CNS manifestations, 41 (31.8%) were associated with peripheral nervous system manifestations, and 9 (7.0%) were linked with myalgic encephalomyelitis. The majority of the cases (50/129) had encephalitis. Clinical characteristic features of these cases were analyzed, and possible pathological mechanisms were also described. In conclusion, B19 should be included in differential diagnosis of encephalitic syndromes of unknown etiology in all age groups. Diagnosis should rely on investigation of anti‐B19 IgM antibodies and detection of B19 DNA in serum or CSF. Treatment of severe cases might benefit from a combined regime of intravenous immunoglobulins and steroids. To confirm these outcomes, goal‐targeted studies are recommended to exactly identify epidemiological scenarios and explore potential pathogenic mechanisms of these complications. Performing retrospective and prospective and multicenter studies concerning B19 and neurological aspects in general, and B19 and encephalitic syndromes in particular, are required. © 2014 The Authors. Reviews in Medical Virology published by John Wiley & Sons, Ltd.
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Metadata
- Authors
- Barah, F., Whiteside, S., Batista, S., & Morris, J.
- Affiliations
- Centro de Neurociências e Biologia Celular (PT)
- Wythenshawe Hospital (GB)
- Neurology Department Coimbra Hospital and University Centre Coimbra Portugal
- Corresponding author
- Barah, Faraj
- Venue
- Reviews in Medical Virology
- Publisher
- Wiley
- Published
- 2014-01-24
- Volume
- 24
- Issue
- 3
- Pages
- 154-168
- ISSN
- 1052-9276 (ISSN-L)
- 1099-1654
- PMC
- PMC4238837
- OpenAlex
- W1897605630
- Cited by
- 116
- References
- 0
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 11 · 2023: 13 · 2022: 13 · 2021: 7 · 2020: 6 · 2019: 7 · 2018: 12 · 2017: 4 · 2016: 9 · 2015: 9 · 2014: 3
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Reviews in Medical Virology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- financiado por Fundos FEDER através do Programa Operacional Factores de Competitividade - COMPETE e por Fundos Nacionais através da FCT - Fundação para a Ciência e a Tecnologia (WELCOMEII/6/CNC/1055/2011, PEst-C/SAU/LA0001/2013-2014)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Parvovirus B19 Infection Studies
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Keywords
- parvovirus B19, neurological symptoms, encephalitis, chronic fatigue syndrome, peripheral nerve involvement, central nervous system involvement, differential diagnosis, intravenous immunoglobulin, corticosteroids, pathophysiological mechanisms
- MeSH terms
- Antibodies, Viral, Central Nervous System, Diagnosis, Differential, DNA, Viral, Encephalitis, Humans, Parvoviridae Infections, Peripheral Nervous System Diseases, Steroids, Fatigue Syndrome, Chronic, Parvovirus B19, Human, Immunoglobulins, Intravenous
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