Rubella: Difference between revisions
m (Rossdonaldson1 moved page Rubella (German Measles) to Rubella) |
ClaireLewis (talk | contribs) No edit summary |
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*Lymphadenopathy | *Lymphadenopathy | ||
**Suboccipital and posterior auricular nodes | **Suboccipital and posterior auricular nodes | ||
*Arthralgias, arthritis | |||
*Rare complications | |||
**[[Thrombocytopenia]], thrombocytopenic purpura | |||
**[[Encephalitis]] | |||
*Risk of severe congenital illness if fetus exposed to virus, especially in 1st trimester | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical history and lack of immunization usually sufficient for diagnosis | |||
*CDC also recommends sending throat/nasal swabs for PCR<ref>https://www.cdc.gov/rubella/hcp.html</ref> | |||
==Management== | ==Management== | ||
*Supportive care | |||
*Isolation for 7 days after onset of rash<ref>https://www.cdc.gov/rubella/hcp.html</ref> | |||
*Contact health department | |||
==Disposition== | ==Disposition== | ||
Revision as of 22:37, 7 September 2016
Background
- Also known as "German measles"
- Incubation 2-3wk
Clinical Features
- Prodrome 1-5d
- Fever, malaise, headache, sore throat
- Rash
- May be short-lived or protracted (2-3d)
- Pink macules/papules on face, spreads to neck, trunk, arms
- Coalesces on face as it reaches the lower extremities
- Lymphadenopathy
- Suboccipital and posterior auricular nodes
- Arthralgias, arthritis
- Rare complications
- Thrombocytopenia, thrombocytopenic purpura
- Encephalitis
- Risk of severe congenital illness if fetus exposed to virus, especially in 1st trimester
Differential Diagnosis
Pediatric Rash
- Atopic dermatitis
- Bed bugs
- Contact dermatitis
- Drug rash
- Erythema infectiosum (Fifth disease)
- Hand-foot-and-mouth disease
- Henoch-schonlein purpura (HSP)
- Herpangina
- Herpes simplex virus (HSV)
- Infectious mononucleosis
- Meningitis
- Measles
- Molluscum contagiosum
- Roseola infantum
- Rubella (German measles)
- Scabies
- Scarlet fever
- Smallpox
- Varicella (Chickenpox)
Evaluation
- Clinical history and lack of immunization usually sufficient for diagnosis
- CDC also recommends sending throat/nasal swabs for PCR[1]
Management
- Supportive care
- Isolation for 7 days after onset of rash[2]
- Contact health department