[An adult case of acute pericarditis and glomerulonephritis associated with human parvovirus B19 infection].
We report herein on a 52-year-old Japanese woman with acute pericarditis and glomerulonephritis associated with human parvovirus B19 infection, who had no significant medical history. The patient was admitted for progressive edema and upper abdominal pain. On physical examination, she had hypertension, generalized edema and upper abdominal tenderness. Urinalysis revealed protein (1+), and occult blood (+/-), with cellular casts. Echocardiography revealed pericardial effusion measuring 3-9mm in diameter. A serological test showed elevation of serum IgM antibodies for parvovirus B19. At the end of two weeks, generalized edema and glomerulonephritis improved spontaneously, and pericardial effusion was resolved three weeks after admission. This case would appear to be a very rare case indicating a direct relationship between human parvovirus B19 infection and acute pericarditis in a healthy adult patient.
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Toshihiro
T
Tono
Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine.
Yoko
Y
Takayama
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Eisuke
E
Ogawa
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Takayuki
T
Hoshiyama
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Noriko
N
Tono
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Satoko
S
Aihara
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Tatsuhiko
T
Wada
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Tatsuo
T
Nagai
Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine.
Shunsei
S
Hirohata
D000208:Acute Disease; D005260:Female; D005921:Glomerulonephritis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010322:Parvoviridae Infections / Q000150:complications*; D016732:Parvovirus B19, Human; D010493:Pericarditis / Q000209:etiology*