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1. Fifth DiseaseErythema Infectiosum By
Heidi Forred
2. Description Viral illness
Parvovirus B19
Symptoms are mild or not evident
Slapped cheek disease
Late winter and early spring
3. Genome Parvovirus
Small round virus
Single stranded DNA
Lack lipid envelope
First Human virus adeno-associated
Viruses are not pathogenic
4. Viral particles at a magnification of x250,000. Scale bar = 100 nm.
6. Historyof Fifth Disease Pre vaccine era children commonly contracted.
Clinical features have been recognized for two centuries.
1980 linked to Parvovirus B19 the only etiology linked to Erythema infectious.
7. Signs and Symptoms Low grade fever
Headache
Mild cold like symptoms
Rash: Slapped cheek
Adults: joint pain
9. Contagiousness Before rash
Spread by fluids of mouth, nose and throat
Large droplets from cough or sneeze.
Family members 50%
Classmates 60%
Pregnant women <5%
10. Prevention No vaccine
Good hygiene
11. Incubation & Duration Four to twenty-eight days
Average of 16 to 17
Rash lasts one to three weeks
Adults joint swelling and pain lasts months to years.
12. Treatment No medication
Tylenol (acetaminophen)
13. Complications Children with weaken immune systems:
Can temporarily stop production of red blood cells causing anemia.
May effect to supply of oxygen to body tissues.
May require blood transfusion and oxygen.
14. References http://www.ecureme.com/emyhealth/Pediatrics/Erythema_Infectiosum.asp
http://cmr.asm.org/cgi/content/full/15/3/485#F1
http://www.aafp.org/afp/991001ap/1455.html
http://www.drgreene.com/21_1153.html
http://bmj.bmjjournals.com/cgi/content/full/311/7019/1549/F1
http://kidshealth.org/parent/infections/bacterial_viral/fifth.html
http://www.virology.net/Big_Virology/BVDNAparvo.html