Document Detail


Unusual localisation of chronic arthropathy in lumbar facet joints after parvovirus B19 infection.
MedLine Citation:
PMID:  12189459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Human parvovirus B19 infection may be responsible for acute and chronic arthropathy. We present the case of a woman, who developed a severe chronic parvovirus B19 infection with persistence of DNA parvovirus B19, which was detected in the serum by polymerase chain reaction (PCR). After intravenous immunoglobulin administration she noted a disappearance of the general symptoms and the virus became undetectable by PCR in the serum. However, 1 month later back pain appeared. Magnetic resonance imaging showed bilateral effusions of the apophyseal joints of the lumbar spine (L4-L5). Spine involvement is rarely described during acute or chronic parvovirus B19 infection. In this case it was not possible to determine whether the facet joint arthropathy was reactive or due to persistent articular infection, or induced by immunoglobulin therapy.
Authors:
M P Guillaume; N Hermanus; A Peretz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical rheumatology     Volume:  21     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-21     Completed Date:  2002-10-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  306-8     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Brugmann Hospital, Free University of Brussels, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthritis, Reactive / drug therapy,  pathology*,  virology
Female
Humans
Immunoglobulins, Intravenous / therapeutic use
Lumbar Vertebrae / pathology*,  virology
Magnetic Resonance Imaging
Parvoviridae Infections / complications,  pathology*,  physiopathology
Parvovirus B19, Human / genetics,  isolation & purification*,  pathogenicity
Treatment Outcome
Zygapophyseal Joint / pathology*,  virology
Chemical
Reg. No./Substance:
0/Immunoglobulins, Intravenous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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