<prompt> Elevated IgG and IgM antibody titers to parvovirus suggest a diagnosis ofFifth diseaseSusceptibility to chickenpoxPossible subacute sclerosing panencephalitis SSPEPossible hepatitis B infection  <response>: Fifth disease is a viral exanthem commonly seen in children 8 to 12 years old. Children are ill for a few days but recover without incident. Unfortunately, if a pregnant female acquires the disease in the first trimester of pregnancy, the fetus is at risk. The causative agent is thought to be a parvovirus parvovirus B 19. 