04/25/2025
From the Heart 💙
Phew we are back!! 😅
That was one busy sick season! We hope everyone is ready for warm weather and sunshine like we are!
We have been seeing a significant amount of rashes in the office lately and the large culprit seems to be the lovely Fifth Disease 🦠
Fifth Disease (Erythema Infectiosum)
•Is a common viral infection in children caused by parvovirus B19. It is characterized by a distinctive "slapped-cheek" rash on the face, which may spread to the body as a lacy, red rash that may get worse when outside/warm. The infection is usually mild and self-limiting in healthy children. It can also be accompanied by mild cold-like symptoms such as fever and runny nose
•Parvovirus B19 is highly contagious and spreads through respiratory droplets. By the time the rash appears, the individual is typically no longer infectious.
•Good news is, treatment is generally supportive, focusing on relieving symptoms if necessary. Most children experience mild symptoms and can be monitored at home. If worsening symptoms of high fevers, significant joint pain, or signs of secondary bacterial infection (ear pain, sinus infection, or breathing difficulty) notify the office 👍🏼
⭐️Considerations in Pregnancy 🤰🏼
Pregnant women exposed to parvovirus B19 should be evaluated by their OBGYN for immunity
References
1. Clinical Presentations of Parvovirus B19 Infection. Servey JT, Reamy BV, Hodge J. American Family Physician. 2007;75(3):373-6.
2. Generalized Petechial Rashes in Children During a Parvovirus B19 Outbreak. Edmonson MB, Riedesel EL, Williams GP, Demuri GP. Pediatrics. 2010;125(4):e787-92. doi:10.1542/peds.2009-1488.
3. Fifth Disease and Other Parvovirus B19 Infections. Gurevich I. Heart & Lung : The Journal of Critical Care. 1991;20(4):342-4.
4. Erythema Infectiosum (Fifth Disease) and Pregnancy. Mankuta D, Bar-Oz B, Koren G. Canadian Family Physician Medecin De Famille Canadien. 1999;45:603-5.
5. Exposure to Fifth Disease in Pregnancy. Staroselsky A, Klieger-Grossmann C, Garcia-Bournissen F, Koren G. Canadian Family Physician Medecin De Famille Canadien. 2009;55(12):1195-8