Parvovirus B19 infection in pregnancy studied by maternal viral load and immune responses

Timo R. de Haan; Matthias F. C. Beersma; Eric C. J. Claas; Dick Oepkes; Aloys C. M. Kroes; Frans J. Walther

doi:https://doi.org/10.1159/000095845

Parvovirus B19 infection in pregnancy studied by maternal viral load and immune responses

Timo R. de Haan, Matthias F. C. Beersma, Eric C. J. Claas, Dick Oepkes, Aloys C. M. Kroes, Frans J. Walther

Research output: Contribution to journal › Article › Academic › peer-review

27 Citations (Scopus)

Abstract

Facilitate risk assessment of vital complications in fetuses of pregnancies affected by acute parvovirus B19 (B19V) infection. Study of the natural course of maternal B19V infection in four cases, from early pregnancy on. University Medical Center in the Netherlands. Pregnant mothers attending obstetric services. Serial measurements of the maternal and fetal or neonatal viral load and antibody responses. Maternal and fetal/neonatal serum B19V viral DNA load and specific IgM and IgG antibodies in maternal serum. Peak viral load levels occurred within 1 week after maternal infection and peak IgM levels were observed 1 week after the peak viral load levels. Approximation of IgG and IgM ratios usually took place 4 weeks after infection. Vertical transmission occurred 1-3 weeks after maternal infection, suggesting that fetal infection occurs during the maternal peak viral load. Maternal B19V DNA load levels and IgM responses are useful to estimate the risk of parvovirus B19-associated fetal complications. The maternal peak viral load directly precedes the onset of fetal infection and may be used to indicate the stage of intrauterine B19V infection

Original language	English
Pages (from-to)	55-62
Journal	Fetal Diagnosis and Therapy
Volume	22
Issue number	1
DOIs	https://doi.org/10.1159/000095845
Publication status	Published - 2007

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https://doi.org/10.1159/000095845

Cite this

@article{dcfcd2b8f7a0440c8a4b95e56be52183,

title = "Parvovirus B19 infection in pregnancy studied by maternal viral load and immune responses",

abstract = "Facilitate risk assessment of vital complications in fetuses of pregnancies affected by acute parvovirus B19 (B19V) infection. Study of the natural course of maternal B19V infection in four cases, from early pregnancy on. University Medical Center in the Netherlands. Pregnant mothers attending obstetric services. Serial measurements of the maternal and fetal or neonatal viral load and antibody responses. Maternal and fetal/neonatal serum B19V viral DNA load and specific IgM and IgG antibodies in maternal serum. Peak viral load levels occurred within 1 week after maternal infection and peak IgM levels were observed 1 week after the peak viral load levels. Approximation of IgG and IgM ratios usually took place 4 weeks after infection. Vertical transmission occurred 1-3 weeks after maternal infection, suggesting that fetal infection occurs during the maternal peak viral load. Maternal B19V DNA load levels and IgM responses are useful to estimate the risk of parvovirus B19-associated fetal complications. The maternal peak viral load directly precedes the onset of fetal infection and may be used to indicate the stage of intrauterine B19V infection",

author = "{de Haan}, {Timo R.} and Beersma, {Matthias F. C.} and Claas, {Eric C. J.} and Dick Oepkes and Kroes, {Aloys C. M.} and Walther, {Frans J.}",

year = "2007",

doi = "https://doi.org/10.1159/000095845",

language = "English",

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journal = "Fetal Diagnosis and Therapy",

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T1 - Parvovirus B19 infection in pregnancy studied by maternal viral load and immune responses

AU - de Haan, Timo R.

AU - Beersma, Matthias F. C.

AU - Claas, Eric C. J.

AU - Oepkes, Dick

AU - Kroes, Aloys C. M.

AU - Walther, Frans J.

PY - 2007

Y1 - 2007

N2 - Facilitate risk assessment of vital complications in fetuses of pregnancies affected by acute parvovirus B19 (B19V) infection. Study of the natural course of maternal B19V infection in four cases, from early pregnancy on. University Medical Center in the Netherlands. Pregnant mothers attending obstetric services. Serial measurements of the maternal and fetal or neonatal viral load and antibody responses. Maternal and fetal/neonatal serum B19V viral DNA load and specific IgM and IgG antibodies in maternal serum. Peak viral load levels occurred within 1 week after maternal infection and peak IgM levels were observed 1 week after the peak viral load levels. Approximation of IgG and IgM ratios usually took place 4 weeks after infection. Vertical transmission occurred 1-3 weeks after maternal infection, suggesting that fetal infection occurs during the maternal peak viral load. Maternal B19V DNA load levels and IgM responses are useful to estimate the risk of parvovirus B19-associated fetal complications. The maternal peak viral load directly precedes the onset of fetal infection and may be used to indicate the stage of intrauterine B19V infection

AB - Facilitate risk assessment of vital complications in fetuses of pregnancies affected by acute parvovirus B19 (B19V) infection. Study of the natural course of maternal B19V infection in four cases, from early pregnancy on. University Medical Center in the Netherlands. Pregnant mothers attending obstetric services. Serial measurements of the maternal and fetal or neonatal viral load and antibody responses. Maternal and fetal/neonatal serum B19V viral DNA load and specific IgM and IgG antibodies in maternal serum. Peak viral load levels occurred within 1 week after maternal infection and peak IgM levels were observed 1 week after the peak viral load levels. Approximation of IgG and IgM ratios usually took place 4 weeks after infection. Vertical transmission occurred 1-3 weeks after maternal infection, suggesting that fetal infection occurs during the maternal peak viral load. Maternal B19V DNA load levels and IgM responses are useful to estimate the risk of parvovirus B19-associated fetal complications. The maternal peak viral load directly precedes the onset of fetal infection and may be used to indicate the stage of intrauterine B19V infection

U2 - https://doi.org/10.1159/000095845

DO - https://doi.org/10.1159/000095845

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SN - 1015-3837

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JO - Fetal Diagnosis and Therapy

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