Incidence and Impact of Parvovirus B19 Infection in Seronegative Solid Organ Transplant Recipients

Author:

Rezahosseini Omid1,Ekenberg Christina2,Møller Dina Leth1,Sørensen Søren Schwartz34,Wareham Neval Ete2,Perch Michael45,Gustafsson Finn46,Rasmussen Allan7,Kirkby Nikolai8,Reekie Joanne2,Lundgren Jens24,Nielsen Susanne Dam14

Affiliation:

1. Viro-immunology Research Unit, Department of Infectious Diseases 8632, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

2. Centre of Excellence for Health, Immunity, and Infections, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

3. Department of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

4. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

5. Department of Cardiology, Section for Lung Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

6. Department of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

7. Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

8. Department of Clinical Microbiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

Abstract

Abstract Routine monitoring of parvovirus B19 (B19V) the first 6 months posttransplantation was performed in 241 seronegative solid organ transplant (SOT) recipients. Incidence rates during the first month and the second to sixth months posttransplantation were 1.2 (95% confidence interval [CI], .33–3.2) and 0.21 (95% CI, .06–.57) per 100 recipients per month, respectively. Of the 6 SOT recipients with positive B19V polymerase chain reaction, 3 (50%) were admitted to hospital and 2 (33%) were treated with intravenous immunoglobulin. Thus, routine monitoring of B19V in seronegative SOT recipients may not be necessary. Targeted screening 1 month posttransplantation and screening upon clinical suspicion could be an alternative strategy.

Funder

Novo Nordisk Foundation

Danish National Research Foundation

Research Foundation of Rigshospitalet

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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