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Rubella (German measles) Mild viral infection that is trivial in children, more severe in adults. One attack confers immunity. Maternal rubella infection in early weeks of pregnancy causes fetal damage (commonly multiple defects) in up to 90% of infants (congenital rubella syndrome). Generally presents with macular facial rash that spreads to trunk and limbs, fading within 4 days; also cervical lymphadenopathy, fever and myalgia. Spread is by airborne droplets. Vaccine given in childhood as part of the triple MMR (measles, mumps and rubella) vaccine.

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Infectious diseases in children: Rubella Dr Mary Lowth 

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