RESUMO
We report an epidemic of parvovirus B19 infections in Denmark during the first quarter of 2024, with a peak incidence 3.5 times higher than during the most recent epidemic in 2017. In total, 20.1% (130/648) of laboratory-confirmed cases were pregnant. Severe adverse outcomes were observed among 12.3% (16/130) of pregnant people and included foetal anaemia, foetal hydrops and miscarriage. Parvovirus B19 infection is not systematically monitored, but a national laboratory-based surveillance system is currently being established in Denmark.
Assuntos
Infecções por Parvoviridae , Parvovirus B19 Humano , Complicações Infecciosas na Gravidez , Humanos , Feminino , Gravidez , Dinamarca/epidemiologia , Parvovirus B19 Humano/isolamento & purificação , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/diagnóstico , Complicações Infecciosas na Gravidez/virologia , Adulto , Incidência , Infecções por Parvoviridae/epidemiologia , Infecções por Parvoviridae/diagnóstico , Epidemias , Hidropisia Fetal/epidemiologia , Hidropisia Fetal/virologia , Índice de Gravidade de Doença , Adulto Jovem , Eritema Infeccioso/epidemiologia , Eritema Infeccioso/diagnóstico , Adolescente , Aborto Espontâneo/epidemiologia , Aborto Espontâneo/virologia , Vigilância da PopulaçãoRESUMO
In Denmark, the number of bariatric operations, including gastric bypass surgery, has increased dramatically in recent years. Internal herniation as a possible cause of acute abdominal pain, is a well-known complication after gastric bypass operation. We report two cases of internal herniation during pregnancy following gastric bypass operation. The diagnosis of internal herniation can be difficult as radiologic investigations may be inconclusive. Clinical suspicion alone should lead to surgical exploration due to the risks of morbidity and mortality if patients are not diagnosed properly.