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dc.contributor.authorALONSO DE LA HOZ, JULIA-
dc.contributor.authorLLORENTE OTONES, LUCIA-
dc.contributor.authorHerreros Sáenz, Marta-
dc.contributor.authorRivero, María José-
dc.identifier.citationde la Hoz JA, Otones LL, Sáenz MH, Martín MJR. Parvovirus b19 infection in children with sickle cell disease, watch out for splenomegaly! A case report. Afri Health Sci. 2022;22(1):598-601.
dc.description.abstractBackground: Sickle cell disease (SCD) is an inherited hemoglobinopathy characterized by the presence of hemoglobin S in red blood cells. This polymerizes, distorting the red blood cells, which occlude the microcirculation and have a shorter halflife, giving rise to a chronic hemolytic anemia. This anemia is worsened by parvovirus B19, as it compromises the erythroid precursor, causing a decrease in erythrocyte production. These patients sometimes present with splenic sequestration, characterized by acute blood entrapment in the spleen, with clinical signs of hypovolemic shock. The simultaneous appearance of both leads to an extremely severe situation that requires urgent action. Objective: To describe the case of a patient with SCD and splenic sequestration, in which the suspicion of concomitant aplastic crisis affected her prognosis. Clinical case: 3-year-old girl with homozygous SCD, presenting with fever, cough, vomiting and pain in the lower limbs. Upon arrival, hemodynamic instability, mucocutaneous pallor, and splenomegaly were observed. Hemogram on admission showed an acute drop in haemoglobin level with reticulocytopenia. Splenic sequestration was suspected, along with aplastic crisis, so she received a blood transfusion, subsequently showing progressive improvement. Human parvovirus B19-specific IgM and IgG antibodies were detected in the serum. Conclusion: Patients with SCD and parvovirus B19 infection must be closely observed for splenomegaly since an early identification of an enlarging spleen can lead to an early diagnosis of this complication.es_ES
dc.publisherAfrican Journals Online (AJOL)es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rightsAtribución-NoComercial-CompartirIgual 3.0 España*
dc.subjectSickle cell diseasees_ES
dc.subjecthuman parvovirus b19es_ES
dc.subjectaplastic anemiaes_ES
dc.subjectsplenic sequestrationes_ES
dc.subject.meshSickle Cell Traites_ES
dc.subject.meshParvovirus B19, Humanes_ES
dc.subject.meshAnemia, Aplastices_ES
dc.titleParvovirus b19 infection in children with sickle cell disease, watch out for splenomegaly! A case reportes_ES
dc.identifier.journalAfrican Health Scienceses_ES
dc.identifier.journalabbreviationAfri Health Scies_ES
dc.contributor.authoraffiliationHospital Universitario de Fuenlabrada. Servicio de Pediatríaes_ES
dc.subject.decsRasgo Drepanocíticoes_ES
dc.subject.decsParvovirus B19 Humanoes_ES
dc.subject.decsAnemia Aplásicaes_ES
Appears in Collections:Hospitales > H. U. de Fuenlabrada > Artículos

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