Tourneux P, Jouvencel P, Micheau M, Jouvencel AC, Chateil JF, Barba G, Letavernier B, Llanas B. [Parvovirus B19 thrombocytopenic purpura complicated with a cerebral hemorrhage].
Arch Pediatr 2005;
12:281-3. [PMID:
15734124 DOI:
10.1016/j.arcped.2004.11.017]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2003] [Accepted: 11/12/2004] [Indexed: 10/25/2022]
Abstract
UNLABELLED
Severe hemorrhage complications are rare in idiopathic thrombocytopenic purpura. This pathology is often considered as benign.
CASE REPORT
We report the case of a four-year-old boy presenting a parvovirus B19 idiopathic thrombocytopenic purpura. Despite early and repeated use of intravenous immunoglobulin, the evolution was characterized by the secondary apparition of a cerebral hemorrhage. It was lethal seven days after the initial diagnosis.
CONCLUSION
Parvovirus B19 should be investigated as an etiologic agent of idiopathic thrombocytopenic purpura, using PCR. The unpredictive aspect of severe hemorrhage complications, especially cerebral hemorrhages, explains the potential severity of this disease.
Collapse