Measles, German (Rubella)

Cody D. Mead, DO and Jeffrey M. Milch, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A generally self-limited viral infection of children and adults, characterized by a mild, maculopapular rash, lymphadenopathy, and slight fever. Complications in normal populations a...

DIAGNOSIS

Council of State and Territorial Epidemiologists (CSTE) case definition classifications of rubella (1)[A
  • Clinical case definition

    • Acute onset of pink, coalescent macules on the face spread...

TREATMENT

  • Supportive for mild cases

  • Isolate patients for 5 to 7 days after rash onset.

  • Postnatal rubella: mild and self-limited; treat symptomatically. Hospitalize for complications: idiopathic thromboc...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Individuals immune to rubella through natural infection or vaccine may be reinfected when reexposed; such infection is usually asymptomatic and ...

REFERENCES

1 Centers for Disease Control and Prevention. Chapter 14: rubella. In: Lanzieri T, Redd S, Abernathy E, et al, eds. Manual for the Surveillance of Vaccine-Preventable Diseases. 5th ed. Atl...

ADDITIONAL READING

CODES

ICD10

  • B06.9 Rubella without complication

  • B06.00 Rubella with neurological complication, unspecified

  • P35.0 Congenital rubella syndrome

  • B06.89 Other rubella complications

  • O35.3XX1 Maternal care for (su...

CLINICAL PEARLS

  • Rubella is typically a self-limited viral exanthematous infection of children and adults.

  • Nonimmune women who are infected with rubella while pregnant may have devastating fetal effects...

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