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Published on: February 9, 2011
[Congenital rubella syndrome in infants treated at a pediatrics hospital]
F Solórzano-Santos1, A López-Kirwan, M T Alvarez y Muñoz
1Departamento de Infectología, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, IMSS, Av. Cuauhtémoc 330, Col. Doctores, 06720 México D.F.
Insights
Congenital rubella syndrome (CRS) is more common in Mexico than previously thought, with five cases annually per hospital. Infants presenting with ocular, neurological, or heart defects should be evaluated for CRS.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Context:
- Congenital rubella syndrome (CRS) is often considered uncommon in Mexico.
- This study investigates the prevalence and clinical manifestations of CRS in a pediatric hospital in Mexico City.
Purpose:
- To analyze and describe the clinical features of CRS cases in infants.
- To determine the frequency of CRS in a Mexican pediatric hospital over an 8-year period.
Summary:
- A retrospective study identified 56 infants with positive rubella serology; 42 had complete records.
- Major manifestations included ocular (74%), neurological (66%), and congenital heart disease (67%).
- Key findings were congenital cataracts (69%), hepatomegaly (52%), jaundice (43%), anemia (40%), thrombocytopenia (48%), and hearing loss (19%).
Impact:
- The findings suggest CRS is more frequent in Mexico than previously assumed, with approximately five confirmed cases per year per hospital.
- Highlights the importance of investigating CRS in infants with ocular, neurological, and congenital heart diseases.
- Underscores the need for increased awareness and diagnostic consideration of CRS in pediatric populations.
Unlabelled:
Congenital rubella syndrome (CRS) has been considered an uncommon problem in Mexico.
Objective:
To analyze and describe clinical features of CRS cases in infants from a pediatric hospital in Mexico City during an 8 year period.
Design:
retrospective study. Patients younger than 18 months of age with a positive serologic test for IgG and IgM rubella antibodies were included. Antibodies were measured by an immunoenzymatic microparticles assay.
Results:
Fifty-six cases were identified, 42 complete clinical records were available for review. Of these, 23 (54.7%) were female and 19 (45.3%) male. Median for age was five months. A total of 9/42 mothers (21%) had history of rash during pregnancy. IgM antibodies were detected in 15 infants and IgG in 27. Major manifestations were ocular (74%), neurologic (66%), and congenital heart disease (67%). Congenital cataracts were detected in 69%, in 52% hepatomegaly, in 43% jaundice, in 40% anemia, in 48% thrombocytopenia, and hearing loss 19%.
Conclusion:
Five confirmed cases with CRS per year in one hospital indicate a high frequency. Only a small percentage of women had a history of rash during pregnancy. CRS must be investigated in infants with ocular, neurologic, and congenital heart diseases.
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