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  1. Uticaj Parvo B19 virusa na trudnoću

    Pitanje broj: #59894

    Molila bih vas da mi kažete nešto više o humanom Parvo B19 virusu. Koliko je opasan i kakve komplikacije može izazvati u trudnoći? U oktobru 2009. godine, imala sam missed abortion, uginuće ploda u 10. nedelji trudnoće. To mi je bila prva trudnoća. Imam 33 godine. Radila sam ispitivanja ELISA testom na Parvo B19, koja su pokazala da imam IgG antitela na ovaj virus. Da li je navedeni virus mogao uzrokovati uginuće ploda?

    Odgovoreno: 28. 01. 2019.
    • Poštovana,
      Nije verovatno da je taj virus razlog pobačaja. Skoro svi dođemo u kontakt sa njim tokom životu, pre svega deca. Najčešće susret sa virusom nije opasan.

      Iz udžbenika:

      Key Points

      • Children develop low-grade fever and slight malaise followed several days later by an indurated, confluent erythema on the cheeks (“slapped-cheek” appearance) and a symmetric rash that is most prominent on the arms, legs, and trunk.

      • There is mild, transient suppression of erythropoiesis that is asymptomatic except sometimes in children with hemoglobinopathies (eg, sickle cell disease) or other RBC disorders (eg, hereditary spherocytosis), or immunosuppression.

      • Risk of fetal death is 2 to 6% after maternal infection.

      • Testing is done mainly in children with transient aplastic crisis or adults with arthropathy.

      • Treatment is symptomatic, but immunocompromised children may benefit from IV immune globulin.

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