Melih Timuçin DOĞAN, Elif ÇOBAN, Murat SÜTÇÜ

Parvovirus B19'a Bağlı Akut Pleuro-Perikardit: 17 Yaşındaki Bir Erkek Çocuğun Olgu Sunumu

Parvovirüs B19 (PVB19) enfeksiyonu olan akut plöro-perikarditli on yedi yaşında bir erkek çocuğu rapor ediyoruz. Göğüs ağrısı, ateş ve nefes darlığı şikayetleri ile başvurdu. Fizik muayenede ortopne, ateş yüksekliği (38,4 °C), taşikardi ve hepatomegali vardı. Ekokardiyografide 12 mm perikardiyal efüzyon görüldü. Göğüs ultrasonunda 10 mm'lik sol plevral efüzyon saptandı. Serum anti-Parvovirus 19 IgM ve Parvovirus B19 DNA pozitifti. İki hafta sonra; serum anti-Parvovirus B19 IgM negatifti, perikardiyal efüzyon ve plevral efüzyon düzeldi. Bildiğimiz kadarıyla bu vaka, bir pediatrik hastada Parvovirus B19 enfeksiyonu ile ilişkili ilk akut plöro-perikardit raporunu temsil etmektedir.

Anahtar Kelimeler:

göğüs ağrısı, parvovirus b19, plöro-perikardit

Acute Pleuro-Pericarditis Due to Parvovirus B19: A Case Report of A 17-Year-Old Boy

We report on a seventeen-year-old boy with acute pleuro-pericarditis with human parvovirus B19 (PVB19) infection. He presented with chest pain, fever and shortness of breath. On physical examination, he had orthopnea, increased temperature (38,4 °C), tachycardia and hepatomegaly. Echocardiography showed a pericardial effusion of 12 mm. Thoracic ultrasound revealed left pleural effusion of 10 mm. Serum anti-Parvovirus 19 IgM and Parvovirus B19 DNA were positive. Two weeks later; serum anti-Parvovirus B19 IgM was negative, pericardial effusion and pleural effusion were resolved. In our knowledge this case represents the first report of acute pleuro-pericarditis associated with Parvovirus B19 infection in a pediatric patient.

Keywords:

chest pain, parvovirus B19, pleuro-pericarditis,

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