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Medically reviewed by Oghenefejiro Okifo | MD, Harvard Medical School | Henry Ford Hospital - Detroit, MI on July 16th, 2023.
Rubella, also known as German measles or 3-day measles, is a contagious viral infection that primarily affects children. While it is usually mild in kids, rubella can cause serious complications during pregnancy and in unborn babies. In this article, we'll explore the symptoms, causes, and prevention of rubella to help you protect yourself and your loved ones.
Rubella is often mild in children, and sometimes, it may not cause any symptoms at all. The most common signs of rubella include:
Pink or red-spotted rash that starts on the face and spreads to the rest of the body
Mild fever (99°F to 100°F)
Swollen and pink-colored eyes (conjunctivitis)
Headache
Swollen glands behind the ears and on the neck
Stuffy or runny nose
Cough
Sore joints (more common in young women)
Rubella is caused by a virus and spreads when an infected person coughs or sneezes tiny germ-filled droplets into the air and onto surfaces. Pregnant women can also pass the virus to their unborn child through the bloodstream. People who catch the virus are contagious for up to a week before and a week after the rash appears, even if they don't have symptoms.
While rubella is usually mild in children, it can cause serious complications during pregnancy. If a pregnant woman gets infected, especially during the first trimester, it can lead to miscarriage, stillbirth, or congenital rubella syndrome (CRS) in the baby. CRS can cause birth defects such as developmental delay, cataracts, congenital heart disease, and hearing impairment.
If your doctor suspects rubella, they may perform blood tests and a virus culture to confirm the infection. The presence of rubella-specific antibodies, such as rubella IgM and IgG, can help determine if you're currently infected, were recently infected, or have been vaccinated against rubella.
Since rubella is caused by a virus, antibiotics won't work. In most cases, the infection in children is so mild that it doesn't require treatment. You can use pain relievers like acetaminophen or ibuprofen to reduce fever and ease aches. However, avoid giving aspirin to children and teens due to the risk of Reye's syndrome.
The best way to prevent rubella is to get vaccinated with the measles, mumps, and rubella (MMR) vaccine. Children should receive two doses of the MMR vaccine – the first between 12 and 15 months old and the second between 4 and 6 years old. If you're planning to get pregnant, make sure you're vaccinated at least one month before conception. If you're already pregnant and haven't been vaccinated, contact your doctor immediately for guidance.
Rubella is a contagious viral infection that can cause mild symptoms in children but lead to serious complications during pregnancy. By understanding the symptoms, causes, and prevention of rubella, you can take steps to protect yourself and your loved ones. Getting vaccinated with the MMR vaccine is the most effective way to prevent rubella and its potential complications. If you have any concerns about rubella or your vaccination status, don't hesitate to consult with your healthcare provider.
Vaccination is the only effective prevention for this highly contagious virus that can cause devastating birth defects during pregnancy. Women of childbearing age should confirm their immunity through blood testing before conception. If you're experiencing a facial rash with fever or have questions about your vaccination status, Doctronic can help you get the answers you need quickly.
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