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Short Communication
Med Princ Pract 2009;18:339–341
DOI: 10.1159/000215736
Seroprevalence of Erythrovirus B19 IgG Antibody
among Paediatric Patients in Makkah and Jeddah,
Kingdom of Saudi Arabia
Ayman Johargy
Department of Microbiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
Introduction
The B19 virus (B19V), also known as parvovirus B19,
is a member of the genus Erythrovirus within the Parvo-
viridae family. It was discovered by chance in 1974 by
Yvonne Cossart in England during routine screening for
hepatitis B of asymptomatic blood donors [1]. The most
common clinical manifestation of B19V infection is ery-
thema infectiosum (also called fifth disease or ‘slapped-
cheek’ syndrome), which is characterised by a facial rash
that spreads to the trunk and limbs, usually preceded by
a non-specific flu-like illness. B19V is also associated
with arthropathy, aplastic crisis, chronic pure red cell
aplasia and foetal infection. Less commonly, B19V may
be associated with myocarditis, various vasculitic syn-
dromes and neurological disorders. B19V is a ubiquitous
virus that tends to produce spring epidemics in temperate
climates in children 4–10 years of age [2].
Infection with B19V is thought to confer lifelong im-
munity. The most common method for detection of
B19V-specific antibodies is enzyme-linked immunosor-
bent assay (ELISA). Specific IgM antibodies are consid-
ered to be serological markers for primary B19V infec-
tion. IgG antibodies against B19V are produced approxi-
mately 2 weeks after infection and persist for life. The
presence of these antibodies is indicative of past infection
[3] as determined for various parts of the world [4] .
Key Words
Makkah Saudi Arabia Paediatric patients Erythrovirus
B19 Enzyme-linked immunosorbent assay
Abstract
Objective: To estimate the prevalence of IgG antibodies
against B19 virus (B19V) in Makkah and Jeddah, Saudi Ara-
bia. Methods: B19V-specific IgG antibodies were detected
by a commercial indirect enzyme-linked immunosorbent as-
say in sera of 400 paediatric patients (185 males and 215 fe-
males) aged 1–17 years. Results: Of the 400 patients, 80
(20%) had sera positive for B19V-specific IgG. The difference
in the prevalence of the antibodies between genders was
not statistically significant (p = 0.9). The prevalence of anti-
B19V antibodies increased significantly in the age group of
12–17 years as compared to younger patients (37.5 vs. 18% in
those aged 1–11 years; p = 0.006). Conclusion: This study in-
dicated a high prevalence of IgG antibodies against B19V in
paediatric patients with an increase in age.
Copyright © 2009 S. Karger AG, Basel
Received: August 10, 2008
Revised: October 27, 2008
Ayman Johargy, Assistant Professor of Molecular Virology
Head of Microbiology Department and Head of Medical Research Centre
Faculty of Medicine, Umm Al-Qura University
Makkah (Saudi Arabia)
Tel./Fax +966 2 527 0446, E-Mail johargy@hotmail.com
© 2009 S. Karger AG, Basel
1011–7571/09/0184–0339$26.00/0
Accessible online at:
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