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German Measles

WHAT YOU SHOULD KNOW

German measles is a mild infection that is also called Rubella (ru-BELL-uh) or three-day measles. The infection is no longer common because nowadays most children get a rubella shot (immunization) to prevent the disease.

Causes

Rubella is caused by a virus. It is spread in the air by the coughing and sneezing of an infected person.

Signs/Symptoms

The hallmark of this infection is a skin rash of tiny, flat or slightly raised, pink-red spots all over the body. Other symptoms are fever, headache, sore eyes, runny nose, cough, sore throat, and swollen glands. The child also may have muscle aches and not want to eat. Rubella can be spread to others from 7 days before the rash starts until 5 days after it first appears. The rash is gone in 3 to 4 days.

Care

There is no cure for rubella, but acetaminophen will help relieve fever and aches. Keep your child at home and away from pregnant women.

WHAT YOU SHOULD DO

  • Do NOT give aspirin if a child with rubella is under 18 years of age. This could lead to brain and liver damage (Reye's syndrome). Be sure to check for aspirin on the label on any over-the-counter medicines you buy.
  • Put calamine lotion on the skin to help itching.
  • Give acetaminophen for fever.
  • Keep your child away from other people, ESPECIALLY PREGNANT WOMEN, until the fever has been gone for 12 hours. Rubella can cause birth defects in unborn babies. If your child has been in contact with a pregnant woman, be sure to warn her so that she can tell her doctor.
  • Have the child rest as much as possible until the fever is gone. This usually takes about 4 days. He or she does not need to stay in bed.
  • The child may return to school or daycare when the fever has been gone for 12 hours.

Call Your Doctor If...

  • The fever lasts more than 3 days.
  • The rash starts to itch.

Seek Care Immediately If...

  • The child's temperature becomes very high.
  • The rash turns purple.
  • The child acts very sick.



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