Persistent parvovirus B19 infection and arthralgia in a patient mistakenly treated for Lyme disease

Abstract We report a case of a 37-year-old woman with persistent parvovirus B19 infection and arthralgia mistakenly treated for Lyme disease. This case indicates that poor standardization of both screening and confirmatory assays for Lyme disease can lead to an incorrect diagnosis of Lyme disease. B...

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Bibliographic Details
Published in:Journal of clinical virology 2008-10, Vol.43 (2), p.226-229
Main Authors: Dobec, Marinko, Kaeppeli, Franz, Cassinotti, Pascal, Satz, Norbert
Format: Article
Language:English
Subjects:
Adult
Allergy and Immunology
Amoxicillin - therapeutic use
Anti-Bacterial Agents - therapeutic use
Antibodies, Viral - blood
Arthralgia
Arthralgia - diagnosis
Arthralgia - virology
Bacterial diseases
Biological and medical sciences
Borrelia
Borrelia infections
Diagnostic Errors
DNA, Viral - analysis
DNA, Viral - isolation & purification
Female
Fundamental and applied biological sciences. Psychology
Human bacterial diseases
Human viral diseases
Humans
Immunoglobulin G - blood
Immunoglobulin M - blood
Infectious Disease
Infectious diseases
Lyme disease
Lyme Disease - diagnosis
Lyme Disease - drug therapy
Medical sciences
Microbiology
Miscellaneous
Parvoviridae Infections - diagnosis
Parvoviridae Infections - virology
Parvovirus B19
Parvovirus B19 viremia
Parvovirus B19, Human - immunology
Parvovirus B19, Human - isolation & purification
Persistent infection
Polyarthritis
Tropical bacterial diseases
Viral diseases
Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye
Virology
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Summary:Abstract We report a case of a 37-year-old woman with persistent parvovirus B19 infection and arthralgia mistakenly treated for Lyme disease. This case indicates that poor standardization of both screening and confirmatory assays for Lyme disease can lead to an incorrect diagnosis of Lyme disease. Before making a final diagnosis of Lyme arthritis in an endemic region, other causative agents of arthritis, such as parvovirus B19, should be excluded to avoid unnecessary treatment or to add appropriate therapy in the case of co-infections. Since parvovirus B19 is often associated with arthralgia and can mimic rheumatoid arthritis and autoimmune diseases, it should be included in the differential diagnosis of arthralgia.
ISSN:1386-6532
1873-5967
DOI:10.1016/j.jcv.2008.06.010