Rubella (Pediatrics - PEDS)

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Contagious viral disease, generally mild, which affects children and young adults.

The rubella virus is transmitted by secretion droplets in the air, when the infected people sneeze or cough.

The most common symptoms are skin rash, fever, inflammation of the lymph nodes and conjunctivitis.

The diagnosis is usually clinical although in order to confirm it, a serological study in blood samples may be performed.

Currently there is not any specific treatment for Rubella, and the treatment administered aims at alleviating symptoms such as fever general malaise (antipyretics / pain killers).

There is a vaccine to prevent Rubella which contains the attenuated live strain of the virus. When the rubella virus infects a pregnant woman within the first stages of pregnancy, it may lead to spontaneous abortion, still birth or severe congenital defects which take the form of congenital rubella syndrome.

Bibliographic references
  1. Garcés-Sánchez M, Renales-Toboso M, Bóveda-García M, Díez-Domingo J. Measles, mumps, and rubella vaccine. Resurgence of measles in Europe. Enferm Infecc Microbiol Clin. 2015 Dec;33(10):673-8. doi: 10.1016/j.eimc.2015.10.013. Epub 2015 Nov 21.
  2. Levine DA. Vaccine-Preventable Diseases In Pediatric Patients: A Review Of Measles, Mumps, Rubella, And Varicella.Pediatr Emerg Med Pract. 2016 Dec;13(12):1-20. Epub 2016 Dec 2.
  3. Kumar D, Sabella C. Measles: Back again. Cleve Clin J Med. 2016 May;83(5):340-4. doi: 10.3949/ccjm.83a.15039.
  4. Lindberg C, Lanzi M, Lindberg K. Measles: Still a Significant Health Threat. MCN Am J Matern Child Nurs. 2015 Sep-Oct;40(5):298-305; quiz E21-2. doi: 10.1097/NMC.0000000000000162.
  5. Caseris M, Burdet C, Lepeule R, Houhou N, Yeni P, Yazdanpanah Y, Joly V. An ypdate in measles. Rev Med Interne. 2015 May;36(5):339-45. doi: 10.1016/j.revmed.2014.10.362. Epub 2015 Jan 8.
Author
Dr. Maria Trabazo
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Symptoms

    Skin rash


    Rash / eruption from the head to the torso and limbs


    Swollen lymph node


    Both eyes red


    Swollen nodes on the neck

Symptoms to watch out for

Pregnancy
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
If it is accompanied by seizures
Numbness or tingling of the lower limbs from the feet up.

Self-care

Use over-the-counter analgesics and antipyretics for muscle pain or fever (temperature > 100.4 F).
Relative rest, rest until symptoms subside.