{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T07:40:37Z","timestamp":1770363637177,"version":"3.49.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Enfermedades infecciosas y microbiologia clinica (English ed.)"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.eimce.2026.503054","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:38:35Z","timestamp":1770309515000},"page":"503054","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Human parvovirus B19 infection in immunocompetent adults: A diagnostic challenge due to its multiple clinical manifestations"],"prefix":"10.1016","volume":"44","author":[{"given":"Raquel","family":"Zaragoz\u00e1 Gonz\u00e1lez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"de Leonardo Sim\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melisa","family":"Hern\u00e1ndez Febles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Lagarejos Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1igo","family":"R\u00faa-Figueroa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda del Val","family":"Groba Marco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda del Mar","family":"Perera Alvarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Garc\u00eda Quintana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Pena L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.eimce.2026.503054_bib0130","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1056\/NEJMra030840","article-title":"Parvovirus B19","volume":"350","author":"Young","year":"2004","journal-title":"N Engl J Med"},{"key":"10.1016\/j.eimce.2026.503054_bib0135","doi-asserted-by":"crossref","first-page":"316","DOI":"10.56875\/2589-0646.1031","article-title":"Hematologic manifestations of parvovirus B19 infection","volume":"16","author":"Algwaiz","year":"2023","journal-title":"Hematol Oncol Stem Cell Ther"},{"key":"10.1016\/j.eimce.2026.503054_bib0140","doi-asserted-by":"crossref","first-page":"566","DOI":"10.3109\/23744235.2016.1163731","article-title":"Parvovirus B19 congenital infection","volume":"48","author":"Gilarranz","year":"2016","journal-title":"Infect Dis (Lond)"},{"key":"10.1016\/j.eimce.2026.503054_bib0145","doi-asserted-by":"crossref","DOI":"10.1111\/1756-185X.15409","article-title":"Rheumatic manifestations and sequela of acute parvovirus B19 infection in hospitalized adult population","volume":"27","author":"Hassan","year":"2024","journal-title":"Int J Rheum Dis"},{"key":"10.1016\/j.eimce.2026.503054_bib0150","doi-asserted-by":"crossref","DOI":"10.3390\/ijms25158127","article-title":"Viral myocarditis as a factor leading to the development of heart failure symptoms, including the role of parvovirus B19 infection-systematic review","volume":"25","author":"Krych","year":"2024","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.eimce.2026.503054_bib0155","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s12985-025-02630-z","article-title":"Exploring the link between parvovirus B19 and encephalitis: a systematic review and comprehensive meta-analysis of molecular and serological evidence","volume":"22","author":"Sharma","year":"2025","journal-title":"Virol J"},{"key":"10.1016\/j.eimce.2026.503054_bib0160","article-title":"High risk of misclassification of acute Parvovirus B19 infection into a systemic rheumatic disease","volume":"8","author":"D\u2019Onofrio","year":"2024","journal-title":"Rheumatol Adv Pract"},{"key":"10.1016\/j.eimce.2026.503054_bib0165","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.semarthrit.2004.07.008","article-title":"Lupus-like presentation of parvovirus B19 infection","volume":"34","author":"S\u00e8ve","year":"2005","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.eimce.2026.503054_bib0170","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2024.29.21.2400253","article-title":"New atypical epidemiological profile of parvovirus B19 revealed by molecular screening of blood donations, France, winter 2023\/24","volume":"29","author":"Guillet","year":"2024","journal-title":"Euro Surveill"},{"key":"10.1016\/j.eimce.2026.503054_bib0175","doi-asserted-by":"crossref","first-page":"2400339","DOI":"10.2807\/1560-7917.ES.2024.29.25.2400339","article-title":"An unusual outbreak of parvovirus B19 infections, France, 2023\u20132024","volume":"29","author":"d\u2019Humi\u00e8res","year":"2024","journal-title":"Euro Surveill"},{"key":"10.1016\/j.eimce.2026.503054_bib0180","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.3390\/v16091352","article-title":"Reassessing the risk of severe parvovirus B19 infection in the immunocompetent population: a call for vigilance in the wake of resurgence","volume":"16","author":"Ceccarelli","year":"2024","journal-title":"Viruses"},{"key":"10.1016\/j.eimce.2026.503054_bib0185","doi-asserted-by":"crossref","DOI":"10.1002\/jmv.29878","article-title":"Unexpected high incidence of parvovirus B19 nucleic acid detection in German blood donors in the winter\/spring season 2023\/2024","volume":"96","author":"Pl\u00fcmers","year":"2024","journal-title":"J Med Virol"},{"key":"10.1016\/j.eimce.2026.503054_bib0190","series-title":"Risks Posed by Reported Increased Circulation of Human Parvovirus B19 in the EU\/EEA \u2013 5 June 2024","author":"European Centre for Disease Prevention and Control (ECDC)","year":"2024"},{"key":"10.1016\/j.eimce.2026.503054_bib0195","article-title":"Simultaneous presentation of parvovirus B19 infection and systemic lupus erythematosus in a patient: description and review of the literature","volume":"7","author":"Chabert","year":"2020","journal-title":"Eur J Case Rep Intern Med"},{"key":"10.1016\/j.eimce.2026.503054_bib0200","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2024.29.29.2400438","article-title":"Letter to the editor: Severe parvovirus B19 infections in the immunocompetent population","volume":"29","author":"Giovanetti","year":"2024","journal-title":"Euro Surveill"},{"key":"10.1016\/j.eimce.2026.503054_bib0205","doi-asserted-by":"crossref","DOI":"10.1016\/j.diagmicrobio.2024.116300","article-title":"Role of clinical, molecular, and serological features in the diagnosis of parvovirus B19 infection in children","volume":"109","author":"Onel","year":"2024","journal-title":"Diagn Microbiol Infect Dis"},{"key":"10.1016\/j.eimce.2026.503054_bib0210","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-59582-7","article-title":"Changing epidemiology of parvovirus B19 in the Netherlands since 1990, including its re-emergence after the COVID-19 pandemic","volume":"14","author":"Russcher","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.eimce.2026.503054_bib0215","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcv.2025.105798","article-title":"Insights into the clinical and molecular epidemiology of an infections outbreak of human parvovirus B19 in France, 2023\u20132024","volume":"178","author":"Creuzet","year":"2025","journal-title":"J Clin Virol"},{"key":"10.1016\/j.eimce.2026.503054_bib0220","unstructured":"Jordan JA. Clinical manifestations and diagnosis of parvovirus B19 infection. In: Edwards MS, Caliendo AM, Bogorodskaya M (eds). UpToDate. Updated 17.4.25."},{"key":"10.1016\/j.eimce.2026.503054_bib0225","article-title":"Adult-onset Still's disease: an atypical presentation refractory to standard treatment","volume":"16","author":"Esmaeili-Ghahfarokhi","year":"2024","journal-title":"Cureus"},{"key":"10.1016\/j.eimce.2026.503054_bib0230","doi-asserted-by":"crossref","first-page":"16668","DOI":"10.3390\/ijms242316668","article-title":"Polyarteritis nodosa: old disease, new etiologies","volume":"24","author":"Wolff","year":"2023","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.eimce.2026.503054_bib0235","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1186\/s12872-024-03913-z","article-title":"Viral myocarditis in combination with genetic cardiomyopathy as a cause of sudden death. An autopsy series","volume":"2","author":"Callon","year":"2024","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.eimce.2026.503054_bib0240","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1002\/rmv.1839","article-title":"A review of blood diseases and cytopenias associated with human parvovirus B19 infection","volume":"25","author":"Kerr","year":"2015","journal-title":"Rev Med Virol"},{"key":"10.1016\/j.eimce.2026.503054_bib0245","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s00392-015-0884-6","article-title":"Predictors of outcome in patients with parvovirus B19 positive endomyocardial biopsy","volume":"105","author":"Greulich","year":"2016","journal-title":"Clin Res Cardiol"},{"key":"10.1016\/j.eimce.2026.503054_bib0250","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1016\/j.jacc.2012.01.007","article-title":"Long-term follow-up of biopsy-proven viral myocarditis: predictors of mortality and incomplete recovery","volume":"59","author":"Gr\u00fcn","year":"2012","journal-title":"J Am Coll Cardiol"}],"container-title":["Enfermedades infecciosas y microbiologia clinica (English ed.)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2529993X26000080?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2529993X26000080?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:38:44Z","timestamp":1770309524000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2529993X26000080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S2529993X26000080"],"URL":"https:\/\/doi.org\/10.1016\/j.eimce.2026.503054","relation":{},"ISSN":["2529-993X"],"issn-type":[{"value":"2529-993X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Human parvovirus B19 infection in immunocompetent adults: A diagnostic challenge due to its multiple clinical manifestations","name":"articletitle","label":"Article Title"},{"value":"Enfermedades infecciosas y microbiologia clinica (English ed.)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eimce.2026.503054","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Sociedad Espa\u00f1ola de Enfermedades Infecciosas y Microbiolog\u00eda Cl\u00ednica. Published by Elsevier Espa\u00f1a, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"503054"}}