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Rubella
(German Measles)

What is rubella (German measles)?

A respiratory disease caused by a virus.

What are the symptoms of rubella?

Rash and fever for two to three days (mild disease in children and young adults).

What are the complications of rubella?

Birth defects if acquired by a pregnant woman: deafness, cataracts, heart defects, mental retardation, and liver and spleen damage (at least a 20% chance of damage to the fetus if a woman is infected early in pregnancy).

How is rubella spread from person to person?

Spread by contact with an infected person, through coughing and sneezing.

What is the rubella vaccine?

Rubella vaccine (contained in MMR vaccine) can prevent this disease.

You do NOT need the measles, mumps, rubella vaccine (MMR) if:

  • You had blood tests that show you are immune to measles, mumps, and rubella.


  • You are a man born before 1957.


  • You are a woman born before 1957 who is sure she is not having more children, has already had rubella vaccine, or has had a positive rubella test.


  • You already had two doses of MMR or one dose of MMR plus a second dose of measles vaccine.


  • You already had one dose of MMR and are not at high risk of measles or mumps exposure.

You SHOULD get the measles vaccine if you are not among the categories listed above, and

  • You are a college student, trade school student, or other student beyond high school.


  • You work in a hospital or other medical facility.


  • You travel internationally, or are a passenger on a cruise ship.


  • You are a woman of childbearing age.

Source: Centers for Disease Control and Prevention


Last Editorial Review: 3/3/2008




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German Measles (Rubella)

What is thrombocytopenia?

Thrombocytopenia is a lower than normal number of platelets in the blood.

Platelets are one of the components of the blood along with white and red blood cells. Platelets play an important role in clotting and bleeding. Platelets are made in the bone marrow similar to other cells in the blood such as, white blood cells and red blood cells. Platelets originate from megakaryocytes which are large cells found in the bone marrow. The fragments of these megakaryocytes are platelets that are released into the blood stream. The circulating platelets make up about two third of the platelets that are released from the bone marrow. The other one third is typically stored (sequestered) in the spleen.

Platelets, in general, have a brief 7 to 10 days life in the blood, after which they are removed from the blood circulation. The number of platelets in the blood is referred to as the platelet count and is normally betw...

Read the Thrombocytopenia (Low Platelet Count) article »










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