Feature of hydrops fetalis in a fetus can be due to:
**Core Concept**
Hydrops fetalis is a severe condition characterized by abnormal fluid accumulation in two or more fetal compartments, including the skin (edema), pleura (pleural effusion), pericardium (pericardial effusion), or abdominal cavity (ascites). This condition is often associated with fetal anemia, which can be caused by various factors, including infections.
**Why the Correct Answer is Right**
Parvovirus B19 infection is a well-documented cause of hydrops fetalis. This virus specifically targets erythrocyte precursors, leading to impaired erythropoiesis and subsequent fetal anemia. The lack of erythropoietin production and the inability to produce new red blood cells result in severe anemia, which can lead to cardiac failure and fluid accumulation in multiple fetal compartments.
**Why Each Wrong Option is Incorrect**
* **Option A:** Epstein-Barr virus is not typically associated with hydrops fetalis. While it can cause various complications during pregnancy, it is not directly linked to this specific condition.
* **Option B:** Human papillomavirus is primarily associated with cervical cancer and genital warts, not hydrops fetalis. It is not a known cause of fetal anemia or fluid accumulation.
* **Option D:** Influenza virus can cause maternal and fetal complications, including preterm labor and respiratory distress. However, it is not a direct cause of hydrops fetalis.
**Clinical Pearl / High-Yield Fact**
Parvovirus B19 infection during pregnancy can also lead to fetal anemia and subsequent complications, such as fetal heart failure and hydrops fetalis. It is essential for obstetricians to be aware of this potential risk and take necessary precautions to prevent maternal infection.
**β Correct Answer: C. Parvovirus B19**