Rubella

Permanent congenital defect- 

Classic triad in congenial rubella 

Description

1. Eye defect

• Congenital cataract 

• Salt and pepper chorioretinopathy

• Microphthalmos

• Cloudy cornea 

• Poorly dialated pupil 

2. Ear defect 

• SNHL (due to destruction of organ of corti)

3. Cardiac defect 

• Patent ductus arteriosus (PDA) - Most common 

• Pulmonary artery stenosis 

• Ventricular septum defect (VSD)




Transient congenital changes-

• Hepatosplenomegaly 

• Bone lesion 

• IUGR (Intra uterine growth retardation)

• Blueberry muffins syndrome (Thrombocytopenia with petechiae)



Wikimedia Commons nhttps://commons.wikimedia.org/wiki/File:Blueberry_muffin_baby.jpg nSarra Benmiloud, Ghizlane Elhaddou, Zoubida Alaoui Belghiti, Moustapha Hida, Abdelhak BouharrouFigure- A newborn baby with typical lesions of a blueberry muffin baby.




Licence- Wikimedia Commons nSource- https://commons.wikimedia.org/wiki/File:Congenital_Rubella_Syndrome,_Salt_and_Pepper_Retinopathy.jpg nAuthor- Jonathan Trobe, M.D. - University of Michigan Kellogg Eye CenterFigure- Salt and Pepper Retinopathy in congenital rubella syndrome


Reference:

1. Comprehensive ophthalmology, A K Khurana, 7th edition, P. No. 190-91

2. Essentials of Medical Microbiology, Apurba S sastry, Sandhya bhat, 2nd edition, P. No. 490-92 

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