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Definition
Parvovirus infection is a common and highly contagious childhood ailment — sometimes called slapped-cheek disease because of the distinctive face rash that develops. Parvovirus infection also has been known as fifth disease because, historically, it was one of five common childhood illnesses characterized by a rash.
In most children, parvovirus infection is mild and requires little treatment. However, parvovirus infection in some pregnant women can lead to serious health problems for the fetus. Parvovirus infection is also more serious for people with some kinds of anemia or who have a compromised immune system.
Symptoms
Most people with parvovirus infection have no signs or symptoms. When symptoms do appear, they vary greatly by age.
Parvovirus symptoms in children
Early signs and symptoms of parvovirus infection in children may include:
- Sore throat
- Slight fever
- Upset stomach
- Headache
- Fatigue
- Itching
Distinctive facial rash
Several days after the appearance of early symptoms, a distinctive bright red facial rash may appear — usually on both cheeks. Eventually it may extend to the arms, trunk, thighs and buttocks, where the rash has a pink, lacy, slightly raised appearance.
Generally, the rash occurs near the end of the illness. It's possible to mistake the rash for other viral rashes or a medicine-related rash. The rash may come and go for up to three weeks, becoming more visible when a child is exposed to extreme temperatures or spends time in the sun.
Parvovirus symptoms in adults
Adults don't usually develop the slapped-cheek rash. Instead, the most prominent symptom of parvovirus infection in adults is joint soreness, lasting days to weeks. Joints most commonly affected are the hands, wrists, knees and ankles.
When to see a doctor
Make an appointment with your family physician if you believe you or your child has parvovirus infection in addition to an underlying condition that may increase the risk of complications. These conditions include:
- Sickle cell anemia
- Impaired immune system
- Pregnancy
Causes
The human parvovirus B19 causes parvovirus infection. This is different from the parvovirus seen in dogs and cats, so you can't get the infection from a pet or vice versa.
Human parvovirus infection is most common among elementary school-age children during outbreaks in the winter and spring months, but anyone can become ill with it anytime of the year. It spreads from person to person, just like a cold, often through respiratory secretions and hand-to-hand contact.
The illness is contagious in the week before the rash appears. Once the rash appears, the person with the illness is no longer considered contagious and doesn't need to be isolated.
Complications
Parvovirus infection can cause serious complications for people who:
- Are pregnant
- Have sickle cell anemia
- Have compromised immune systems
Parvovirus infection in pregnancy
Parvovirus infection during pregnancy sometimes affects red blood cells in the fetus, causing a severe anemia that could lead to miscarriage or stillbirth. Fetal risk appears greatest during the first half of the pregnancy. Treatment options include a blood transfusion directly to your fetus or giving you medications that pass through the placenta to your fetus.
Parvovirus infection in people with anemia
Anemia is a condition in which red blood cells, which carry oxygen to all the parts of your body, are used up faster than your bone marrow can replace them. Parvovirus infection in people with anemia may stop the production of red blood cells and cause an anemia crisis. People with sickle cell anemia are at particular risk.
Parvovirus in people with weakened immune systems
Parvovirus infection can also trigger severe anemia in people who have compromised immune systems, which may result from:
- AIDS
- Cancer treatments
- Anti-rejection drugs used after organ transplants
Preparing for your appointment
Most people with parvovirus infection don't seek medical attention. But you may want to talk to your family doctor if you or your child has been exposed to parvovirus and has an underlying condition that increases the risk of complications.
What you can do
Before the appointment, you may want to write a list that includes:
- When and how you or your child was exposed to parvovirus
- A detailed description of any symptoms
- Medical problems that tend to run in your family
- Medical problems you or your child has had in the past
- All the drugs and supplements you or your child takes
What to expect from your doctor
During the physical examination, your doctor will pay special attention to any skin rashes and may ask if there's any chance that you or your child might be pregnant.
Tests and diagnosis
About half of adults are immune to parvovirus infection, most likely because of a previous, unnoticed, childhood infection. People who are at risk of severe parvovirus complications might benefit from blood tests that can help determine if they're immune to parvovirus or if they've recently become infected.
Treatments and drugs
For a noncomplicated parvovirus infection, self-care treatment at home is generally sufficient. People with severe anemia may need to be hospitalized and receive blood transfusions. Those with weakened immune systems may receive antibodies, via immune globulin injections, to treat the infection.
Lifestyle and home remedies
Self-care treatment is aimed primarily at relieving signs and symptoms and easing any discomfort. Make sure you or your child gets plenty of rest and drinks lots of fluids. You can use acetaminophen (Tylenol, others) to relieve temperatures of more than 102 F (39 C) or minor aches and pains. Avoid giving aspirin to children. Aspirin may trigger a rare but potentially fatal disorder known as Reye's syndrome.
It's impractical and unnecessary to isolate your sick child. You won't know your child has parvovirus infection until the rash appears, and by that time, your child is no longer contagious.
Prevention
There's no vaccine to prevent parvovirus infection. Once you've become infected with parvovirus, you acquire lifelong immunity. Washing your hands and your child's hands frequently may help diminish the chances of getting an infection. Throw away used tissues immediately after use — wash your hands after handling them.
Last Updated: 2010-01-12
