Parvovirus B19 infection have been increasingly reported in the renal transplant literature and can cause a potential severe disease in transplant recipients. Chronic red cell aplasia can develop in renal transplant recipients infected with Parvovirus B19 (PVB19). Here, we report a case of Pure Red Cell Aplasia (PRCA) caused by PVB19 infection in arenal transplant infection in whom the immunosuppressive regimen included prednisolone, mycophenolate mofetile (MMF) and tacrolimus. Red cell aplasia resolved with discontinuation of MMF and using high dose immunoglobulin. We concluded that PVB19 in renal transplant recipient can be a cause of significant morbidity, and high dose Xth CONGRESS OF THE MIDDLE EAST SOCIETY FOR ORGAN TRANSPLANTATION 159 Posters immunoglobulin in combination with a significant reduction of immunosuppressive medications may be neccessary to erradicate PVB19 infection