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A fetus with a parvovirus B19 infection and congenital anomalies
Authors:R G Tiessen  A M W van Elsacker-Niele  Chr Vermeij-Keers  D Oepkes  J van Roosmalen  M C B Gorsira
Institution:1. Department of Anatomy, Erasmus University Rotterdam, Rotterdam, The Netherlands;2. Departments of Virology, University of Leiden, Leiden, The Netherlands;3. Gynaecology and Obstetrics, University of Leiden, Leiden, The Netherlands;4. Pathology, University of Leiden, Leiden, The Netherlands
Abstract:A fetus with multiple structural defects was seen at prenatal ultrasound examination. After termination of the pregnancy a bilateral cleft lip, alveolus, and palate; micrognathia; and webbed joints were seen. Fetal tissues showed indications of infection, intranuclear inclusion bodies, chronic stress, haemolysis, arterial wall damage, and profuse haemorrhage. Parvovirus B19 DNA was detected in fetal tissues by dot hybridization after polymerase chain reaction. The possibility of parvovirus B19 infection leading to congenital malformations is discussed.
Keywords:Parvovirus B19  intrauterine  ultrasound diagnosis  bilateral cleft lip and palate  intranuclear bodies
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