Winners

Marjan Siadat                 Kyle Perry                        Katie Ohlendorf

Katie Dobratz                  Brian Junnila                 Matt Steimle

Sam Lee                           Devon Moore                  Donnell Newman

Shereaf Walid                 Dan Seitz                         Eric Tosh

Case 2.2

A 7-year-old boy is brought to the ED by his mother after she noticed the rash below on his body.  The mom states that the rash first appeared on her son’s face  and then rapidly spread to his neck, back, chest, and legs.  Mom states that her son complained of a sore throat for the last couple of days and he had a low-grade fever.  Mom states that her son is vaccinated with all vaccines except those that have live viruses.  On exam, you note postauricular and posterior lymphadenopathy.  The rash is pink to red and maculopapular.

1. What is the diagnosis?

Rubella (German Measles) – caused by infection with Rubivirus

Click here for a Lancet review on Rubella

2. What vaccine could have prevented this condition?

Mumps, Measles, Rubella – a live-attenuated virus

3. What is the most concerning complication of this condition?

-Congenital rubella syndrome (exposure occurs during the first trimester of pregnancy)

Click here for a review on Congenital Rubella Syndrome

-Subacute sclerosing panencephalitis

Thank you to everyone who submitted their answer.  Stay tuned for next week’s VizD

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient.

Filed under: VizD Tagged: | rubella, systemic infections