Hi All

I have a newborn with Congenital Rubella Syndrome (IUGR, Cataract, Small ASD, PDA, Thrombocytopenia, Periventricular Calcifications, Sensorineural deafness, Rubella IgM +ve).

I would like to know how long does the thrombocytopenia last. How do I treat it? (Platelet transfusions v/s IV IgG).

When do I start immunisation?

As far as I know, there's only supportive treatment for thromobocytopenia related to congenital rubella, i.e. I would transfuse if platelet levels got critically low (<15-20).

Anyone else with recent experience of congenital rubella?

Hi Stefan

Thanks for the reply. I have used IV IgG. I shall get back to you once I get the platelet count. (Patient is discharged)

The query of starting immunisation is still unanswered.

Did you check immune status of the staff caring for this child?

I understand that infants with congenital rubella excrete large amounts of viruses.

There is a national database (in Swedish unfortunately) on infections during pregnancy, www.infpreg.com.

This info on Rubella (in Swedish..) but at the bottom you'll find references which you may find useful.

Thanks for the info. The infants platelet count is now 68,000/mm3