Bilateral brachial plexus neuritis following parvovirus B19 and cytomegalovirus infection.
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.
Maas
J J
JJ
Department of Neurology, Rijnland Hospital Leiderdorp, The Netherlands.
Beersma
M F
MF
Haan
J
J
Jonkers
G J
GJ
Kroes
A C
AC
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
D004279:DNA, Viral; D007075:Immunoglobulin M