O. Tugal et al., TRANSIENT ERYTHROBLASTOPENIA OF THE NEWBORN CAUSED BY HUMAN PARVOVIRUS, The American journal of pediatric hematology/oncology, 16(4), 1994, pp. 352-355
Purpose: We describe a newborn baby boy with anemia in whom human parv
ovirus (HPV) antibodies were detected in his serum. Patients and Metho
ds: Severe reticulocytopenia and anemia lasted until day 11 after his
birth. Thereafter reticulocytosis was observed. Work-ups for immune he
molytic anemia, fetomaternal hemorrhage, placental hemorrhage, intraut
erine infections were negative by clinical and laboratory analysis. HP
V-specific IgM and IgG were positive on both the baby's and the matern
al serum. Results: Despite severe anemia, the baby remained clinically
stable. His hemoglobin levels steadily increased along with ongoing r
eticulocytosis. He is now 14 months old with normal hemoglobin. Conclu
sions: Detection of HPV antibodies indicated its causal relation to th
e development of congenital purl red cell aplasia. The possibility of
HPV infection should be considered in the assessment of anemia of the
newborn.