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Encephalitis in rubella

 
, medical expert
Last reviewed: 23.04.2024
 
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Rubella is an acute viral disease that occurs with a short-term fever, spotted or spotted-papular rash, and an increase in the cervical lymph nodes.

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Causes of encephalitis in rubella

The causative agent of encephalitis for rubella is the RNA virus of the Togaviridae family .

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Symptoms of encephalitis in rubella

On the first day of the disease, a roseolous or rosaolous-papular rash appears on the unchanged background of the skin, mainly on the extensor surfaces of the limbs around the joints. After 2-3 days the rash disappears completely. Moderate fever, light catarrhal symptoms, patchy hyperaemia of the soft palate, enlarged and moderately painful cervical, parotid and occipital lymph nodes are typical. On the 4-7th day of the disease, a complication can occur in the form of serous meningitis or encephalitis with a relatively favorable course. Sometimes rubella panencephalitis progresses with an increase in neurologic symptoms in the form of ataxia, convulsive seizures, and depression of consciousness.

Where does it hurt?

Diagnosis of encephalitis in rubella

The isolation of the virus using the classic virological method is used - sowing mucus of the nose on embryonic tissues. Anti-blast antibodies are detected and the increase in their titer in the reactions of complement and neutralization is 4 times or more.

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What do need to examine?

Treatment of encephalitis in rubella

Specific therapy does not exist, pathogenetic and symptomatic treatment is similar to other viral encephalitis.

Forecast

With relatively mild cases of rubella encephalitis and rapid adequate intensive therapy of severe forms, the prognosis is favorable, with complete recovery. Mortality is up to 10-20%. Residual phenomena occur in a third of cases. With subacute sclerosing panencephalitis, the outcome is always fatal.

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