Memórias do Instituto Oswaldo Cruz · 2009 · 17 citations · 10 references
Life SciencesImmunologyInfectious DiseasesClinical ImmunologyMedical MicrobiologyVirologyAnemiaAntiretroviral TherapyHiv EpidemiologyImmunocompromised Host InfectionsImmunodeficiency DisordersViral InfectionsAntibodiesHiv Antibody DetectionHiv Antiretroviral TherapyHiv Serologic TestingHiv-associated ImmunosuppressionImmune Globulin TherapyLaboratory Diagnosis Of HivParvovirus B19 Infection Diagnosis
Parvovirus B19 (B-19) may cause chronic anaemia in immunosuppressed patients, including those infected with human immunodeficiency virus (HIV). We studied single serum samples from 261 consecutive HIV-infected patients using an enzyme immunoassay to detect IgG antibodies to B-19. The seroprevalence of B-19-IgG was 62.8%. The differences in seroprevalence across gender, age, educational categories, year of collection of the serum samples, clinical and antiretroviral therapy characteristics, CD4+ count, CD4+ and CD8+ percentage and CD4+/CD8+ ratios were neither substantial nor statistically significant. There was a non-significant, inverse association between B-19 seropositivity and plasma HIV load and haemoglobin level. Our results indicated that 37.1% of patients might be susceptible to B-19 infection and remained at risk for being infected, mainly during epidemic periods. As B-19 infection can be treated with immune globulin preparations, it may be included in the diagnostic approach toward chronic anaemia in HIV-infected patients.
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