We report two patients who presented with thrombocytopenic purpura (TP
) associated with primary human parvovirus B19 (B19) infection. One pa
tient also had transient liver dysfunction. In both cases, B19-DNA was
detected in serum and bone marrow by polymerase chain reaction. Six m
onths after the illness in patient 1 and 8 months after the illness in
patient 2, B19-DNA disappeared from the serum. Serum immunoglobulin (
Ig)G antibody to B19 remained positive in both cases, but B19 IgM anti
body became negative 3 months after the onset in case 1 and 4 months a
fter the onset in case 2. The mechanism of TP by B19 infection is unkn
own.