Nurse Directory

Important Information

• An acute contagious disease
• Essentially a mild childhood disease, the danger actually being congenital defects in the newborn if apregnant woman suffers from it or is exposed to someone with the disease:
  * microcephaly
  * congenital heart defect; cataract; deafness and mutism

AKA: Rubella; 3-day measles

Causative Agent: Pseudoparamyxovirus (Rubella/Toga virus)

Incubation Period: Usually 10 days

Period of Communicability: 4-7 days after the onset of catarrhal symptoms

Mode of transmission: droplet infection

Signs and Symptoms:
Pre-eruptive stage

• Forcheimer’s spots – pathognomonic enanthema which consists of fine red spots on the soft palate or uvula, seen on the 1st day.
• With or without slight fever, headache, mild sore throat, loss of appetite, runnynose.
• Leukopenia during febrile stage

Eruptive stage

• Rash cardinal sign
• Oval, rose-red papules about the size of a pinhead
• Begins on the face, covers the entire body in 24 hours (cephalocaudal)

Post-eruptive stage

• Rashes disappear on the 3rd day
• Lymph nodes subside

Management: similar to Rubeola measles

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