RUBELLA: POSTNATAL INFECTION

I. History of the disease and patient

Post natal rubella is derived from the Latin

word rubellus, meaning 'reddish', and refers to the

pink rash that is seen in most patients. It is

predominantly an infection of children, in whom it

causes a mild febrile illness. It does not occur

naturally in animals other than man.

The portal of entry is the respiratory tract.

Incubation period is usually 14-16 days but may

range 10-21 days.

a. Causative agent

b. Geographical roots and spread

c. Health history of the patient

The patient was having high – grade fevers

ranging from 38°C - 40°C. Since the patient regarded

is as an ordinary fever, he was not able to be

admitted in the hospital until the fever went on for

two weeks.

"I was hallucinating due to the high-grade

fever. I felt that the room was filled with water

and then it got smaller. That time, I was also

having amoeba, so, I didn't thought of it as

dengue", said he.

 He hasn't had dengue before. He had asthma and

allergies which he believed acquired genetically

because his mother also had those.

He was immunized by BCG and MMR vaccines when

he was a child though he still got mumps and

chickenpox.

Eventhough he has no enough knowledge of dengue

that time, he made sure of having a good diet,

taking in fruits liquids and proper rest when he

knew he had dengue. Eventhough he was deprived of

attending his Christmas party, still he chose to

take a rest so as to lighten his feeling.

"I was told by my doctor that I had dengue when

rashes manifested my palms and soles, then it spread

on my arms and feet. He said that I am in the state

of recovery because of these rashes," said the

patient.

The patient was quite sure that he acquired

dengue from vectors, specifically, mosquitoes