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Clinical Pediatrics
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Congenital Rubella Syndrome in a Child Born to Liberian Refugees: Clinical and Public Health Perspectives

Rachel N. Plotinsky, MD

Division of Public Health Services, Department of Health and Human Services, Concord, Epidemic Intelligence Service, Office of Workforce and Career Development

Elizabeth A. Talbot, MD

Division of Public Health Services, Department of Health and Human Services, Concord, eatalbot{at}dhhs.state.nh.us, Dartmouth Medical School, Hanover, Dartmouth Hitchcock Medical Center, Lebanon

Joan E. Kellenberg, MS, MPH

Manchester Health Department, Manchester, New Hampshire

Susan E. Reef, MD

National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia

Sandra K. Buseman, MD, MSPH

Manchester Health Department, Manchester, New Hampshire

Karen D. Wright, MD

Dartmouth Hitchcock Medical Center, Lebanon

John F. Modlin, MD

Dartmouth Medical School, Hanover, Dartmouth Hitchcock Medical Center, Lebanon

We describe a case of congenital rubella syndrome with typical stigmata in an infant born in New Hampshire to Liberian refugees. The infant's clinical specimens were tested for rubella. Rubella immunity status was sought for contacts. The infant's specimen cultures grew wild-type rubella virus; serum immunoglobulin M and G were positive. Eighteen of 20 contacts were rubella-immune. Family's transit history, mother's vaccination history, and infant's estimated gestational age supported congenital infection acquired overseas. Clinicians should maintain vigilance for congenital rubella syndrome in infants with relevant stigmata, particularly those whose mothers are from countries with nonexistent or recently implemented rubella vaccination programs.

Key Words: congenital rubella syndrome • refugee • vaccination

Clinical Pediatrics, Vol. 46, No. 4, 349-355 (2007)
DOI: 10.1177/0009922806293915
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