In fifth disease, the body stops producing red blood cells for a short time. This usually does not cause a problem for an otherwise normally healthy child or adult. However, it can become a serious threat for people who have blood disorders, such as sickle cell disease and thalassemia. These people can develop transient aplastic crisis, a rapid worsening of existing anemia that usually lasts 7 to 10 days. People who have transient aplastic anemia can become very sick; symptoms include fever, lethargy, rapid heart rate, and rapid breathing.
People who have impaired immune systems who become infected with fifth disease may develop a chronic parvovirus B19 infection that can lead to severe anemia.
WebMD Medical Reference from Healthwise