Rubella symptoms in adults
Rubella (Rubeola) - an acute infectious disease, occurring with a moderate rise in temperature characteristic exanthema, similar to measles, swollen lymph glands and the absence of severe symptoms of intoxication.
Epidemiology. Pathogen - a virus, characterized by high volatility and contagion in the environment.The only source of infection is a sick man.It is dangerous to others, starting with the last 7 days of incubation period and ending with the blanching rash (4-5 day from the beginning of the rash).Infection occurs apparently by droplet infection.The infection spreads through things and the third person is not observed.
Infants rarely fall ill with rubella.The largest number of cases falls between the ages of 2 and 10 years.Symptoms of rubella in children here.
common diseases among adults .Especially dangerous is the German measles for women in the first months of pregnancy because it may cause fetal loss (stillbirths, congenital deafness, microcephaly and other malformations).
have adult rubella proceeds more intensively: causes asthenovegetative syndrome, migraine, a significant increase in body temperature, pain in muscles and joints, photophobia, and lacrimation, conjunctivitis.
In men, there is some pain in the testicles.Afraid this is not necessary - the pain disappears immediately after the man recovers.No adverse effects of this pain is not punishable.And in order to ease the pain, requires strict bed rest.
Large rubella outbreaks does not;it is less contagious than measles.Usually there are a few isolated cases or focal disease.
incubation period lasts 10-20, mostly 12-14 days.Prodromal phenomena are absent or expressed an easy katarralnym state mucous upper respiratory tract infection (conjunctivitis, runny nose, cough).The rash of rubella begins with the scalp, face and neck, covers the entire body in one day;melkopyatnistaya is not raised above the skin surface, blednorozovataya.
A few hours later it spreads throughout the body, more abundant covering extensor surface of the extremities, back and buttocks.Rash persists for 3-4 days, and then disappears, leaving no peeling or pigmentation.
temperature is normal or within 2-3 days rests on subfebrile.
for rubella is characterized by an increase in neck and back, neck, and often elbow lymph glands.
Sometimes rubella occurs with fever, rash and mild krupnopyatnistoy katarralnymi phenomena.On the oral mucosa can be enanthema in the form of small pink spots.Rubella, joined other infectious diseases (scarlet fever, diphtheria, etc.), As well as co-flow with serum sickness may produce more severe.
The blood was leukopenia (3000-4000 mm 3 in 1), relative lymphocytosis, increase in the number of plasma cells.
complications (arthritis, encephalitis, myelitis, nephritis) are rare.After this illness remains strong immunity.
Rubella is easily mixed with measles.For rubella is characterized by the absence of common phenomena, the absence or mild katarralnye phenomenon (the child does not sneeze, there is a rough cough, photophobia), and the rapid spread of melkopyatnisty character rash, increased nuchal glands.However, mild forms of measles, especially measles in vaccinated, often mistaken for rubella.
In all cases of doubt, require immediate prevention by Degkvitsu measles and other preventive measures.This particularly applies to children's institutions.
reason for diagnosis of errors can be rubella, measles except also serum sickness, and other infectious forms of erythema erythema occurring, depending on the nature of erythema, with the increase in temperature, without fever.
In the so-called scarlet rubella syndrome flowing scarlet light, given that it very often confused with scarlet fever, should be carried out anti-epidemic measures, required in scarlet fever.Isolate the sick do not need to branch scarlet, and in prison.
diagnosis .Diagnosis of measles is based on clinical data and the results of blood tests.
Treatment with rubella is required.
patients comply within 2-3 days bed rest.When complications of encephalitis are appointed by steroid hormones.How to use folk remedies with rubella, see here.
Prevention. patient was subjected to isolation until the 4th day after the rash.
necessary to protect pregnant women without a history of rubella, by contact with sick this infection.If a pregnant woman has already contracted rubella or been in contact with the patient, it is recommended to enter the gamma globulin (10-20 ml) for the prevention of fetal.