Fetal Parvovirus B19 Infection
| Autor: | William L. Holcomb, Hung N. Winn, Joseph M. Talsky, Dorothea Mostello |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
medicine.medical_specialty Anemia Remission Spontaneous Spontaneous remission Ultrasonography Prenatal Parvoviridae Infections Pregnancy Internal medicine medicine.artery Ascites Parvovirus B19 Human medicine Humans Radiology Nuclear Medicine and imaging Fetus Radiological and Ultrasound Technology biology Parvovirus business.industry Ultrasonography Doppler biology.organism_classification medicine.disease Surgery Fetal Diseases Effusion embryonic structures Middle cerebral artery Cardiology Female medicine.symptom business circulatory and respiratory physiology |
| Zdroj: | Journal of Ultrasound in Medicine. 23:557-560 |
| ISSN: | 0278-4297 |
| DOI: | 10.7863/jum.2004.23.4.557 |
| Popis: | Fetal anemia due to marrow suppression from parvovirus B19 infection may lead to fetal hydrops. In cases of hydrops, outcomes include spontaneous resolution, fetal death without intrauterine fetal transfusion, resolution after transfusion, and fetal death after transfusion. Differentiating those who will have spontaneous resolution from those requiring transfusion is problematic and sometimes based on fetal hematologic parameters measured at funicentesis or somewhat subjective sonographic observations. We report a case in which Doppler sonography was used to obviate funicentesis, fetal transfusion, and their attendant risks. High middle cerebral artery (MCA) peak systolic velocity (PSV) is associated with anemia. In this case, improvement from moderate to mild ascites and normal MCA PSV supported the likelihood of spontaneous resolution in progress. |
| Databáze: | OpenAIRE |
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