We are starting our mini-series on TORCH infections with congenital rubella, a rare disease nowadays in the US but prevalent still worldwide.

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This episode was written by Dr. Tammy Yau and Dr. Lidia Park, with content support from Dr. Dean Blumberg. Drs. Tammy and Lidia take full responsibility for any errors or misinformation.

Key points:

-Think of this disease in infants of immigrant or under-immunized mothers.

-Findings include cataracts, retinopathy, PDA, hearing loss, blueberry muffin rash

-Treatment is supportive, with patients needing to isolate for at least several months.

-There is little evidence for immunoglobulin to prevent disease

Sources:

AAP Red Book chapter on Rubella

Lambert N, Strebel P, Orenstein W, Icenogle J, Poland GA. Rubella. Lancet. 2015 Jun 6;385(9984):2297-307. doi: 10.1016/S0140-6736(14)60539-0. Epub 2015 Jan 8. PMID: 25576992; PMCID: PMC4514442.

AAP 2010 Pediatrics in Review

https://publications.aap.org/pediatricsinreview/article-abstract/31/3/129/33128/Rubella?redirectedFrom=fulltext