Parvovirus B19​ (Fifth Disease)


Parvovirus B19, also known as Fifth Disease, is a common viral illness that spreads from person to person. In the United States, infections occur more often during late winter, spring, and early summer. Parvovirus B19 only infects humans — you cannot get it from dogs or cats, and pets cannot get this virus from people.

Parvovirus B19 infection is usually mild, and many people may have very few symptoms or no symptoms at all. In some cases, however, infection can lead to complications for pregnant individuals, people with weakened immune systems, or those with certain blood disorders.


Symptoms

Many people infected with Parvovirus B19 have mild symptoms or no symptoms at all. When symptoms do occur, they may include:

  • Fever
  • Headache
  • Runny nose
  • Sore throat
  • Cough
  • Joint pain
  • Muscle aches
  • Rashes

Fifth disease can sometimes resemble measles because of its red, blotchy rash that often begins on the face and spreads to the body. However, fifth disease is generally less severe than measles, and does not usually include the high fever, severe cough, or other more serious symptoms commonly associated with measles.

A common symptom in children is a bright red facial rash often described as a “slapped cheek" appearance. A lacy rash may also appear on the chest, back, arms, buttocks, or legs. The rash itself can look concerning but is usually mild and resolves on its own.


How It Spreads

Parvovirus B19 spreads through:

  • Respiratory droplets from coughing or sneezing
  • Contact with infected blood or blood products
  • Transmission from a pregnant person to their baby during pregnancy

People are usually most contagious before the rash appears.


Who May Be at Higher Risk for Complications?

Complications are uncommon in healthy individuals but may occur in people with:

  • Sickle cell disease or other blood disorders
  • Leukemia or other types of cancer
  • HIV infection
  • Organ transplant history
  • Weakened immune systems
  • Pregnancy

Parvovirus B19 can sometimes cause severe anemia (low blood count) in people with certain health conditions.


Pregnancy and When to Seek Medical Care

Parvovirus B19 infection during pregnancy is uncommon but can sometimes affect the unborn baby. Infection during early pregnancy may increase the risk of miscarriage or cause problems such as severe anemia in the fetus.


Contact your Healthcare Provider if You:

  • Are pregnant and develop a new rash, joint pain, or flu-like symptoms
  • Have been exposed to someone with Parvovirus B19
  • Have a weakened immune system or blood disorder and develop symptoms

Most pregnancies are unaffected, but healthcare providers may recommend additional monitoring if infection occurs during pregnancy.


Prevention

There is no vaccine to prevent Parvovirus B19 infection. The best way to reduce spread is to practice good respiratory and hand hygiene habits.


Help prevent the spread of illness by:

  • Washing hands often with soap and water
  • Covering coughs and sneezes with a tissue or elbow
  • Cleaning and disinfecting frequently touched surfaces
  • Staying home when sick
  • Improving indoor airflow when possible


Treatment

Most Parvovirus B19 infections are mild and resolve on their own.

Treatment may include:

  • Rest
  • Fluids
  • Fever reducers or pain relievers for discomfort
  • Relief of itching, joint pain, or swelling

People who develop severe anemia or complications may require blood products, other specialized medical treatment or supportive care.


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