Rubella Flashcards

1
Q

Definition

A

Rubella (also known as German measles) is a viral infection spread by direct contact with an infected person or droplet spread from respiratory secretions — it is preventable by vaccine.

The risk of serious congenital defects is highest early in pregnancy (before twenty weeks gestation

Congenital rubella syndrome

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2
Q

Presentation

A

Rash spreading from face and neck down to trunks and generalised.

Lymphadenopathy, arthralgia,

Low-grade fever (<39oC), headache, malaise, nausea, mild upper respiratory tract symptoms and non-purulent conjunctivitis.

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3
Q

Investigations

A

Immediate oral fluid sample needed for testing.

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4
Q

Management

A

Let local health protection team know of infection. Once swab test kits obtained, test patient.
Infection should die down in 7 days. Stay away from school 5 days from start of rash

Inform local staff of disease.

Pregnant woman before 20weeks need to have specialist referral.
Fetus at risk of congenital rubella syndrome

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