ABSTRACT
Human parvovirus B19 has been described as a causative agent of erythema infectiosum (a disease common in children), aplastic crisis in patients with hemolytic disorders, and arthralgias and arthritis. Joint involvement may be a prominent clinical feature of parvovirus B19 infection and may last for several weeks. We describe three cases of acute bilateral carpal tunnel syndrome associated with parvovirus B19 infection as evidenced by serological data and, in one case, by detection of parvovirus B19 DNA in blood with use of PCR.
Subject(s)
Carpal Tunnel Syndrome/virology , Parvoviridae Infections/complications , Parvovirus B19, Human , Acute Disease , Adult , Antibodies, Viral/blood , Carpal Tunnel Syndrome/complications , DNA, Viral/genetics , Female , Humans , Middle Aged , Parvoviridae Infections/virology , Parvovirus B19, Human/genetics , Parvovirus B19, Human/immunology , Parvovirus B19, Human/isolation & purificationABSTRACT
We describe a case of Lyme carditis with intra-hisian 2:1 atrioventricular (AV) block documented by electrophysiological study. To our knowledge, only two cases of AV block at the level of the His bundle has been described in the literature. Sinus rhythm was restored after 4 days of i.v. ceftriaxone.