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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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PARVP<br />

86337<br />

PFRUT<br />

82355<br />

testing.<br />

Useful For: Diagnosing erythrovirus B19 (parvovirus) infection<br />

Interpretation: The presence of erythrovirus B19 DNA by PCR indicates infection with this virus.<br />

The absence of erythrovirus B19 DNA by PCR indicates the lack of infection with this virus (see<br />

Cautions).<br />

Reference Values:<br />

Negative<br />

Clinical References: 1. Heegaard ED, Brown KE: Human parvovirus B19. Clin Microbiol Ref<br />

2002;15:485-505 2. Bultmann BD, Klingel K, Soltar K, et al: Fatal parvovirus B19 associated<br />

myocarditis clinically mimicking ischemic heart disease: an endothelial cell-mediated disease. Hum<br />

Pathol 2003;34:92-95 3. Rerolle JP, Helal I, Morelon E: Parvovirus B19 infection after renal<br />

transplantation. Nephrologie 2003;24:309-315 4. Chisaka H, Morita E, Yaegashi N: Parvovirus B19 and<br />

the pathogenesis of anaemia. Rev Med Virol 2003;16:347-359 5. Goto H, Ishida A, Fujii H, et al:<br />

Successful bone marrow transplantation for severe aplastic anemia in a patient with persistent human<br />

parvovirus B19 infection. Int J Hematol 2004;79(4):384-386<br />

Parvovirus B19, Molecular Detection, PCR, Plasma<br />

Clinical Information: B19, previously classified as a parvovirus, is now in the genus erythrovirus<br />

based on preferential replication of this virus in erythroid progenitor cells.(1) Infection with B19 occurs<br />

early in life and the virus is transmitted by respiratory secretion and occasionally by blood products.<br />

Antibody prevalence ranges from 2% to 15% in early adults.(1) B19 may result in an asymptomatic<br />

infection or produce a wide spectrum of disease ranging from erythema infections (slapped cheek<br />

syndrome or fifth disease) in children to arthropathy, severe anemia, and systemic manifestations<br />

involving the central nervous system, heart, and liver depending on the immune competence of the host.<br />

(2,3) Infection with B19 in pregnant women may cause hydrops fetalis, congenital anemia, abortion, or<br />

stillbirth of the fetus.(4) B19 is also the causative agent of persistent anemia usually, but not<br />

exclusively, in immunocompromised patients, transplant patients, and infants. The deficiencies of<br />

appropriate immune responses to B19 impair viral elimination in virus, which results in enlargement of<br />

B19-infected erythroid-lineage cells.(5,6) Most acute infections with B19 are diagnosed in the<br />

laboratory by serologically detecting IgG and IgM class antibodies with enzyme-linked immunosorbent<br />

assay testing.<br />

Useful For: Diagnosing erythrovirus B19 (parvovirus) infection<br />

Interpretation: The presence of erythrovirus B19 DNA by PCR indicates infection with this virus.<br />

The absence of erythrovirus B19 DNA by PCR indicates the lack of infection with this virus (see<br />

Cautions).<br />

Reference Values:<br />

Not applicable<br />

Clinical References: 1. Heegaard ED, Brown KE: Human parvovirus B19. Clin Microbiol Ref<br />

2002;15:485-505 2. Bultmann BD, Klingel K, Soltar K, et al: Fatal parvovirus B19 associated<br />

myocarditis clinically mimicking ischemic heart disease: an endothelial cell-mediated disease. Hum<br />

Pathol 2003;34:92-95 3. Rerolle JP, Helal I, Morelon E: Parvovirus B19 infection after renal<br />

transplantation. Nephrologie 2003;24:309-315 4. Chisaka H, Morita E, Yaegashi N: Parvovirus B19 and<br />

the pathogenesis of anaemia. Rev Med Virol 2003;16:347-359 5. Goto H, Ishida A, Fujii H, et al:<br />

Successful bone marrow transplantation for severe aplastic anemia in a patient with persistent human<br />

parvovirus B19 infection. Int J Hematol 2004;79(4):384-386<br />

Passion Fruit, IgE<br />

Clinical Information: Clinical manifestations of immediate hypersensitivity (allergic) diseases are<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1383

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