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Congenital Rubella
Dr Jenny Best
Emeritus Reader in Virology
Kings College London.
2012
Pathogenesis of Primary Infection
Clinical Features
Rash 39
38
Fever
37
Arthralgia
Lymphadenopathy
Pharynx
Virus Isolation
Blood
Stool
Urine
SRH antibody
2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
Permanent Transient
Cataract Low birth weight
Retinopathy Hepatosplenomegaly
Sensorineural deafness Meningoencephalitis
Heart defects Thrombocytopenic
Microphthalmia purpura
Microcephaly Bone lesions
Some Common Manifestations
of Congenital Rubella (2)
Developmental
Sensorineural deafness
Peripheral pulmonary stenosis
Mental retardation
Central language defects
Diabetes mellitus
Pathogenesis of Congenital
Rubella
Most damage is during the period of
organogenesis.
Persistence of RV delayed manifestations
Histological studies
(Tndury & Smith 1966)