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Measles, German (Rubella)

Nathaniel John Irvine, MD Reviewed 05/2023
 


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, immunocompet...

DIAGNOSIS

Council of State and Territorial Epidemiologists (CSTE) case definition of rubella (1)[A],(2)[A]: 
  • Clinical case definition

    • Acute maculopapular rash that is generalized; temperature >99 °F...

TREATMENT

  • Treatment is based on symptoms.

  • Patients with postnatal rubella and CRS complications such as encephalitis and thrombocytopenic purpura may need hospitalization (2)[A].

  • Isolate patients for 7...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Individuals immune to rubella through natural infection or vaccine may be reinfected when reexposed. Reinfection could occur in previously vacci...

REFERENCES

1
Lanzieri T, Redd S, Abernathy E, et al. Chapter 14: Rubella. In: Roush SW, Baldy LM, Hall MAK, eds. Manual for the Surveillance of Vaccine-Preventable Diseases. Atlanta, GA: Centers for Di...

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 exanthem in children and adults.

  • Congenital rubella syndrome (CRS) in nonimmune women may have devastating fetal effects.

  • Immunization is the ke...

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