Most cases of parvovirus B19 only require symptomatic treatment. For erythema infectiosum, rest and over-the-counter pain relievers can manage symptoms like fever and headache. Joint pain from the virus, especially in adults, might be treated with non-steroidal anti-inflammatory drugs (NSAIDs).
Managing Severe Anemia
In cases of transient aplastic crisis, where severe anemia occurs, blood transfusions may be necessary. This is crucial for patients with underlying blood disorders like sickle cell disease. The anemia typically resolves on its own, but transfusions support the body until recovery.
IVIG for Chronic Infections
For chronic parvovirus B19 infections, especially in immunocompromised patients, intravenous immune globulin (IVIG) can be a treatment option. This therapy helps reduce symptoms and manage persistent anemia. However, its effectiveness in chronic infections without anemia is less clear.
Frequently Asked Questions
Mild cases often only need rest and OTC pain relievers.
They are needed for severe anemia in transient aplastic crisis.
IVIG helps manage symptoms and reduce anemia in chronic infections.
No, there is no specific antiviral drug available.
The Bottom Line
Understanding treatment options is crucial for managing parvovirus B19 complications effectively.
Frickhofen N, Abkowitz JL, Safford M, et al. Persistent B19 parvovirus infection in patients infected with human immunodeficiency virus type 1 (HIV-1): a treatable cause of anemia in AIDS. Ann Intern Med 1990; 113:926.
Crabol Y, Terrier B, Rozenberg F, et al. Intravenous immunoglobulin therapy for pure red cell aplasia related to human parvovirus b19 infection: a retrospective study of 10 patients and review of the literature. Clin Infect Dis 2013; 56:968.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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