Cindy is a thirty-five-year-old volunteer in an inner-city church-sponsored pres
ID: 275110 • Letter: C
Question
Cindy is a thirty-five-year-old volunteer in an inner-city church-sponsored preschool program. The mothers of the neighborhood are encouraged to bring their children to the program for a “time out.” Most of the children are present on an irregular basis one or two times a week.
One day, Zach, a 2½ year-old became ill during his stay. A rash of small red spots that were not raised above the skin surface was observed during his changing, and he had a slight fever. His mother was located and encouraged to take him to the local clinic.
Shortly after this, Cindy confirmed what she had suspected for about a month—a home pregnancy test was positive. At her visit to the obstetrician, Cindy relayed the story of Zach’s illness to the nurse when asked if she had recently been exposed to any illnesses. Cindy had not been overly-concerned about Zach’s rash but had seemed to be mildly ill herself about three weeks after that incident. The obstetrics nurse seemed to be very interested in this exposure and said that they would contact the clinic and see if Zach had visited and been diagnosed. Blood tests were also ordered for Cindy.
Laboratory Results
The initial hemagglutination inhibition test indicated an antibody titer of 1:16. Subsequent sera collected 10 and 21 days later showed no significant change. There was no significant level of IgM-specific antibody detected.
Which of these is most characteristic of Zach’s symptoms
Rubeola
Scarlet Fever
Rubella
Chicken pox
2)How could Zach’s illness have been prevented? Be specific
3)A rise in titer over 10 to 21 days and the presence of the specific IgM type antibiodies is diagnostic of a current infection in this illness. Based on the laboratory results given in this case study, Cindy’s baby is at risk for congenital rubella syndrome?true/false
4)
Rubeola
Scarlet Fever
Rubella
Chicken pox
2)How could Zach’s illness have been prevented? Be specific
3)A rise in titer over 10 to 21 days and the presence of the specific IgM type antibiodies is diagnostic of a current infection in this illness. Based on the laboratory results given in this case study, Cindy’s baby is at risk for congenital rubella syndrome?true/false
4)
Explanation / Answer
Answer. Sach has been suffering from Rubella probably. The reason obstetrics nurse was worried is Rubella is quite dangerous in early stages of pregnancy. Among all the above 4 ailments, Rubella can cause maximum harm to Cindy pregnancy and all the symptoms Co relate to it, thus, it has been selected.
Answer 2. Zach's illness could have been prevented if he would have been immunised with the MMR vaccine (measles, mumps, rubella) at the age of 9 months.
Answer 3. True, the baby is at the risk of congenital rubella syndrome. Because infection to rubella occurs almost 26-28 days prior to conception. So, if the women who just had conception and exposed to rubella virus, there is a possibility tmof almost 40% that her child will be affected.