Evidence map›Paper›PMID 40668297›Full record

ArticleInfection2025

Diverse clinical manifestations of Parvovirus B19 infections during the 2024 outbreak in Germany.

A Holzem, J Stemler, S Böhm, H Gruell, A Zeuzem, E Schalk, T Schober, C Deppe, J Hübner, M von Bergwelt-Baildon and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

A HolzemDepartment of Medicine III, LMU University Hospital, Munich, Germany.ORCID http://orcid.org/0000-0002-3241-3446
J StemlerFaculty of Medicine and University Hospital Cologne, Institute for Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging- Associated Diseases (CECAD), University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-9152-2469
S BöhmNational Reference Center for Retroviruses, Faculty of Medicine, Max von Pettenkofer-Institute, LMU Munich, Virology, Germany.
H GruellInstitute of Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
A ZeuzemDepartment of Medicine III, LMU University Hospital, Munich, Germany.
E SchalkDepartment of Hematology, Oncology and Cell Therapy, Medical Faculty, Otto von Guericke University, Magdeburg, Magdeburg, Germany.ORCID http://orcid.org/0000-0003-1892-5098
T SchoberDivision Pediatric Infectious Diseases, Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.ORCID http://orcid.org/0000-0002-9440-3761
C DeppeDepartment of Gynecology and Obstetrics, LMU University Hospital, Munich, Germany.
J HübnerDivision Pediatric Infectious Diseases, Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.
M von Bergwelt-BaildonDepartment of Medicine III, LMU University Hospital, Munich, Germany.
K SpiekermannDepartment of Medicine III, LMU University Hospital, Munich, Germany. karsten.spiekermann@med.uni-muenchen.de.
Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Medical Oncology (DGHO)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn 2024, human parvovirus B19 (PB19V) infections have increased in Germany and globally. It is an infection associated with a broad spectrum of clinical manifestations. To raise awareness, we present representative cases and virological data from different specialties across three German university hospitals.

methodsFollowing a nationwide survey by the AGIHO in March 2024 indicating increased PB19V infections, we conducted a retrospective, multi-center descriptive study across Munich, Cologne, and Magdeburg. Anonymized clinical and virological data from 2022 to 2024 were collected, including patient demographics, underlying diseases, and diagnostic findings. Acute PB19V infection was defined by real-time quantitative PCR-based detection of PB19V DNA in any specimen.

resultsClinical manifestations of acute PB19V infections can range from severe anemia and pancytopenia in hematologic patients, to fetal hydrops in pregnant women, and systemic inflammatory symptoms in patients with chronic conditions. In 2024, the Max von Pettenkofer Institute in Munich conducted 936 PB19V PCR tests. A marked increase in positive cases was observed in early 2024, with positivity rates of 16% in Q1 and 18.2% in Q2, compared to an annual positivity rate of 2.3% in 2023. Similar trends were seen at the University Hospitals Cologne and Magdeburg. Most infections were acute with high viral loads. Most cases originated from pediatric, gynecologic, and hematologic departments, highlighting particularly vulnerable patient populations.

conclusionsThis resurgence in symptomatic PB19V infections, likely driven by pandemic-related shifts in immunity and exposure, underscores the need for heightened clinical awareness, early testing in high-risk populations, and sustained surveillance to anticipate future outbreaks.

Indexed as

Disease OutbreaksParvoviridae InfectionsParvovirus B19, HumanAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleGermanyHumansInfantMaleMiddle AgedPregnancyGermanyLaboratory surveillanceOutbreakParvovirus B19

Identifiers

PMID40668297
PMCPMC12460526

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.