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September 1976

Congenital Rubella

Author Affiliations

La Jolla Pediatrics 7449 Girard Ave La Jolla, CA 92037

Am J Dis Child. 1976;130(9):1036-1037. doi:10.1001/archpedi.1976.02120100126027

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Sir.—I wish to present a case that reaffirms the conclusions of Biano et al in the November 1975 issue of the Journal (129:1353, 1975).

Report of a Case.—A child was born at term to a gravida 2, para 2 mother. Birth weight was 2,920 gm. The infant appeared postmature, ie, peeling skin, long nails. Within eight hours of birth, jaundice was noted. Serum bilirubin level was 7.4 mg/100 ml (direct, 2.0 mg/100 ml). Hematocrit value was 67%. Both mother's and infant's blood types were A positive. A direct Coombs test was negative. Peripheral blood smear was normal with a reticulocyte count of 4.1%; SGOT, 120 units; SGPT, 50 units; and lactic dehydrogenase, 680 units. Urinalysis results were normal. Australian antigen was negative. IgM level was 46 mg/100 ml, which was indicative of an intrauterine infection. Urine, blood, throat, and stool specimens were obtained for virus culture; all

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