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The major reduction in the incidence of congenital rubella
syndrome since the introduction of measles, mumps, and rubella vaccination is well documented, but cases still occur. Mehta and Thomas
(p 90) describe two cases in infants born to mothers who had
recently arrived from abroad. Both mothers had a rash in early pregnancy in their country of origin, which had not been elicited when
they booked for antenatal care in the United Kingdom. Clinicians, the
authors say, should actively seek a history of rash in early gestation,
particularly in recent immigrants, so that appropriate tests for
primary rubella infection can be undertaken.
infection or immunity?