Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit

Abstract We present a case of a late preterm intrauterine growth-restricted neonate with isolated and persistent severe thrombocytopenia. At birth, the neonate did not have a complete clinical spectrum of congenital rubella syndrome (CRS) but later developed peculiar findings that helped clinch the diagnosis. The neonate also had interstitial pneumonia and died secondary to superimposed acute viral infection leading to acute respiratory distress syndrome. The serology was positive for IgM antibodies against the rubella virus. The constellation of clinical manifestations of congenital rubella in the presence of positive IgM antibody against rubella and consistent histopathology confirmed the diagnosis of CRS.

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Main Authors: Kumar,Jogender, Sundaram,Venkataseshan, Gupta,Kirti, Bhatia,Anmol, Kaur,Gurwinder, Dutta,Sourabh
Format: Digital revista
Language:English
Published: Hospital Universitário da Universidade de São Paulo 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602022000100404
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spelling oai:scielo:S2236-196020220001004042022-06-06Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten CulpritKumar,JogenderSundaram,VenkataseshanGupta,KirtiBhatia,AnmolKaur,GurwinderDutta,Sourabh Rubella Syndrome, Congenital Thrombocytopenia Pathology Neuropathology Autopsy Abstract We present a case of a late preterm intrauterine growth-restricted neonate with isolated and persistent severe thrombocytopenia. At birth, the neonate did not have a complete clinical spectrum of congenital rubella syndrome (CRS) but later developed peculiar findings that helped clinch the diagnosis. The neonate also had interstitial pneumonia and died secondary to superimposed acute viral infection leading to acute respiratory distress syndrome. The serology was positive for IgM antibodies against the rubella virus. The constellation of clinical manifestations of congenital rubella in the presence of positive IgM antibody against rubella and consistent histopathology confirmed the diagnosis of CRS.info:eu-repo/semantics/openAccessHospital Universitário da Universidade de São PauloAutopsy and Case Reports v.12 20222022-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602022000100404en10.4322/acr.2021.386
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Kumar,Jogender
Sundaram,Venkataseshan
Gupta,Kirti
Bhatia,Anmol
Kaur,Gurwinder
Dutta,Sourabh
spellingShingle Kumar,Jogender
Sundaram,Venkataseshan
Gupta,Kirti
Bhatia,Anmol
Kaur,Gurwinder
Dutta,Sourabh
Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
author_facet Kumar,Jogender
Sundaram,Venkataseshan
Gupta,Kirti
Bhatia,Anmol
Kaur,Gurwinder
Dutta,Sourabh
author_sort Kumar,Jogender
title Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
title_short Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
title_full Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
title_fullStr Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
title_full_unstemmed Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit
title_sort congenital rubella syndrome as a possible cause for persistent thrombocytopenia in early infancy: the forgotten culprit
description Abstract We present a case of a late preterm intrauterine growth-restricted neonate with isolated and persistent severe thrombocytopenia. At birth, the neonate did not have a complete clinical spectrum of congenital rubella syndrome (CRS) but later developed peculiar findings that helped clinch the diagnosis. The neonate also had interstitial pneumonia and died secondary to superimposed acute viral infection leading to acute respiratory distress syndrome. The serology was positive for IgM antibodies against the rubella virus. The constellation of clinical manifestations of congenital rubella in the presence of positive IgM antibody against rubella and consistent histopathology confirmed the diagnosis of CRS.
publisher Hospital Universitário da Universidade de São Paulo
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602022000100404
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