Prolonged remission in a child with chronic myeloid leukemia following Parvo virus B19 (B19V) infection

Indian J Med Microbiol. 2015 Jul-Sep;33(3):432-4. doi: 10.4103/0255-0857.158580.

Abstract

Parvovirus B19 (B19V) has been associated with a wide spectrum of clinico-pathological disorders in human beings depending upon the host immunity. The present report describes a child with chronic myeloid leukemia ( CML) on hydroxyurea in haematological remission, who developed profound erythroid suppression following B19V infection requiring multiple transfusions and withdrawal of hydroxyurea. Despite being off-therapy the child remained in complete clinical and haematological remission till anti B19V antibodies appeared. This case illustrates the ability of B19V infection in suppressing neoplastic myeloid clone, a phenomenon not described earlier.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Viral / blood
  • Bone Marrow / pathology
  • Child
  • Humans
  • Inclusion Bodies, Viral
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / complications*
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology*
  • Male
  • Microscopy
  • Parvoviridae Infections / complications*
  • Parvovirus B19, Human / isolation & purification*
  • Remission, Spontaneous*

Substances

  • Antibodies, Viral