What is the most common congenital heart disease associated with maternal rubella?

Congenital rubella syndrome
What is the most common congenital heart disease associated with maternal rubella?
White pupils due to congenital cataracts in a child with congenital rubella syndrome
SpecialtyTeratology

Congenital rubella syndrome (CRS) can occur in a developing fetus of a pregnant woman who has contracted rubella, usually in the first trimester. If infection occurs 0–28 days before conception, the infant has a 43% risk of being affected. If the infection occurs 0–12 weeks after conception, the risk increases to 81%. If the infection occurs 13–26 weeks after conception, the risk is 54% of the infant being affected by the disease. Infants are not generally affected if rubella is contracted during the third trimester, or 26–40 weeks after conception. Problems rarely occur when rubella is contracted by the mother after 20 weeks of gestation and continues to disseminate the virus after birth.

It was discovered in 1941 by Australian Norman McAlister Gregg.[1]

Signs and symptoms[edit]

What is the most common congenital heart disease associated with maternal rubella?

Infant with skin lesions from congenital rubella

What is the most common congenital heart disease associated with maternal rubella?

"Salt-and-pepper" retinopathy is characteristic of congenital rubella.[2]

What is the most common congenital heart disease associated with maternal rubella?

Congenital rubella serology time-line

The classic triad for congenital rubella syndrome is:[3]

  • Sensorineural deafness (58% of patients)
  • Eye abnormalities—especially retinopathy, cataract, glaucoma, and microphthalmia (43% of patients)
  • Congenital heart disease—especially pulmonary artery stenosis and patent ductus arteriosus (50% of patients)[4]

Other manifestations of CRS may include:

  • Spleen, liver, or bone marrow problems (some of which may disappear shortly after birth)
  • Intellectual disability
  • Small head size (microcephaly)
  • Low birth weight[5]
  • Thrombocytopenic purpura
  • Extramedullary hematopoiesis (presents as a characteristic blueberry muffin rash)
  • Enlarged liver
  • Small jaw size
  • Skin lesions [5]

Children who have been exposed to rubella in the womb should also be watched closely as they age for any indication of:

  • Developmental delay[5]
  • Autism[6]
  • Schizophrenia[7]
  • Growth retardation[8]
  • Learning disabilities
  • Diabetes mellitus[9]

Diagnosis[edit]

What is the most common congenital heart disease associated with maternal rubella?

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Prevention[edit]

Vaccinating the majority of the population is effective at preventing congenital rubella syndrome.[10] For women who plan to become pregnant, the MMR (measles mumps, rubella) vaccination is highly recommended, at least 28 days prior to conception.[5] The vaccine should not be given to women who are already pregnant as it contains live viral particles.[5]

Other preventative actions can include the screening and vaccinations of high-risk personnel, such as medical and child care professions.[11]

References[edit]

  1. ^ Atkinson, William (2011). Epidemiology and Prevention of Vaccine-Preventable Diseases (12th ed.). Public Health Foundation. pp. 301–323. ISBN 9780983263135. Retrieved 30 March 2015.
  2. ^ Sudharshan S, Ganesh SK, Biswas J (2010). "Current approach in the diagnosis and management of posterior uveitis". Indian J Ophthalmol. 58 (1): 29–43. doi:10.4103/0301-4738.58470. ISSN 0301-4738. PMC 2841371. PMID 20029144.
  3. ^ "Congenital rubella syndrome | Sense". www.sense.org.uk. Retrieved 2015-07-30.
  4. ^ Oster ME, Riehle-Colarusso T, Correa A (January 2010). "An update on cardiovascular malformations in congenital rubella syndrome". Birth Defects Research Part A: Clinical and Molecular Teratology. 88 (1): 1–8. doi:10.1002/bdra.20621. PMID 19697432.
  5. ^ a b c d e "Congenital Rubella Symptoms & Causes | Boston Children's Hospital". www.childrenshospital.org. Retrieved 2019-03-05.
  6. ^ Muhle, R; Trentacoste, SV; Rapin, I (May 2004). "The genetics of autism". Pediatrics. 113 (5): e472–86. doi:10.1542/peds.113.5.e472. PMID 15121991.
  7. ^ Brown, A. S (9 February 2006). "Prenatal Infection as a Risk Factor for Schizophrenia". Schizophrenia Bulletin. 32 (2): 200–202. doi:10.1093/schbul/sbj052. PMC 2632220. PMID 16469941.
  8. ^ Naeye, Richard L. (1965-12-20). "Pathogenesis of congenital rubella". JAMA. 194 (12): 1277–1283. doi:10.1001/jama.1965.03090250011002. ISSN 0098-7484. PMID 5898080.
  9. ^ Forrest, Jill M.; Menser, Margaret A.; Burgess, J. A. (1971-08-14). "High Frequency of Diabetes Mellitus in Young Adults with Congenital Rubella". The Lancet. 298 (7720): 332–334. doi:10.1016/S0140-6736(71)90057-2. PMID 4105044.
  10. ^ "Rubella vaccines: WHO position paper" (PDF). Wkly Epidemiol Rec. 86 (29): 301–16. 15 July 2011. PMID 21766537.
  11. ^ "Congenital Rubella - Pediatrics". Merck Manuals Professional Edition. Retrieved 2019-03-05.

What CHD is commonly associated with maternal rubella?

Disease Description Congenital rubella syndrome (CRS) is an illness in infants that results from maternal infection with rubella virus during pregnancy.

Which of the following heart defects is seen as a complication to maternal rubella infection?

Cardiac abnormalities occur in half of the children infected during the first 8 wk of gestation. Patent ductus arteriosus is the most frequently reported cardiac defect, followed by lesions of the pulmonary arteries and valvular disease.

What is the most common single defect present in congenital rubella syndrome?

Infants with CRS often present with more than 1 sign or symptom consistent with congenital rubella infection. Infants may also present with a single defect with hearing impairment being the most common single defect.

Can rubella cause heart defects?

Complications affect 85 out of 100 babies whose mothers had rubella just before or at the beginning of the pregnancy. Complications include deafness, cataracts, heart defects, brain disorders, mental retardation, bone alterations, liver and spleen damage.