title: Bilateral brachial plexus neuritis following parvovirus B19 and cytomegalovirus infection.
abstract: A man, 23 years of age, had a typical erythema infectiosum, complicated by a severe bilateral brachial plexus neuritis. Motor function recovered slowly and only partially after 6 months. An infection by human parvovirus B19 was demonstrated, with strongly positive and gradually declining IgM antibodies and viral DNA detectable in serum for more than 3 months. There was also clear evidence of a recent infection by cytomegalovirus. The interaction between these two viruses could be responsible for this rare and severe complication of common infections in this patient.
authors.affiliation: Department of Neurology, Rijnland Hospital Leiderdorp, The Netherlands.
authors.forename: J J
authors.initials: JJ
authors.lastname: Maas
authors.forename: M F
authors.initials: MF
authors.lastname: Beersma
authors.forename: J
authors.initials: J
authors.lastname: Haan
authors.forename: G J
authors.initials: GJ
authors.lastname: Jonkers
authors.forename: A C
authors.initials: AC
authors.lastname: Kroes
mesh_terms: D000328:Adult; D001917:Brachial Plexus; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000276:immunology; D004279:DNA, Viral / Q000032:analysis; D016731:Erythema Infectiosum / Q000150:complications*; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D008297:Male; D009443:Neuritis / Q000209:etiology* / Q000821:virology*; D016732:Parvovirus B19, Human / Q000235:genetics / Q000276:immunology
chemical_list: D004279:DNA, Viral; D007075:Immunoglobulin M