Congenital rubella Congenital Rubella Congenital rubella is a viral infection acquired from the mother during pregnancy. Signs are multiple congenital anomalies that can result in fetal death. Diagnosis is by serology and viral... read more can be acquired by the fetus in utero if a pregnant patient without previous immunity is infected during pregnancy.
Some children with congenital rubella syndrome (eg, with deafness, cataracts, microcephaly, and intellectual disability) develop neurologic deficits in early adolescence.
Diagnosis of Progressive Rubella Panencephalitis
Cerebrospinal fluid (CSF) examination and serologic testing
Sometimes brain biopsy
The diagnosis of progressive rubella panencephalitis is considered when a child with congenital rubella develops progressive spasticity, ataxia, mental deterioration, and seizures.
Testing involves at least CSF examination and serologic testing. CSF total protein and globulin and rubella antibody titers in CSF and serum are elevated.
CT may show ventricular enlargement due to cerebellar atrophy and white matter disease.
Brain biopsy may be necessary to exclude other causes of encephalitis or encephalopathy.
Rubella virus usually cannot be recovered by viral culture or immunohistologic testing.
Treatment of Progressive Rubella Panencephalitis
No specific progressive rubella panencephalitis treatment exists.
Symptoms (eg, seizures, muscle spasticity, weakness) are managed as appropriate.