Congenital Rubella Syndrome - A forgotten diagnosis?
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2013.2614 |
Resumo: | Palavras-chave: Síndrome Rubéola Congénita, Persistência Canal arterial, Estenose proximal ramos artéria pulmonar. Key-words: Congenital Rubella Syndrome, Persistent ductus arteriosus, Proximal stenosis pulmonary artery branches We report a 7-month-old infant, from Cabo Verde that was admitted because of fever and bacteraemia due to Streptococcus pneumoniae. The gestation was not medically accompanied and the immunization status of the mother was unknown. A severe growth retardation, hypotony, severe muscular atrophy, bilateral cataracts and deafness were found. The cardiovascular exam showed a hiperdynamic precordium and a continuous machinery murmur grade IV/VI with radiation to dorsum and significant hepatomegaly. The transthoracic echocardiogram showed a large persistent ductus arteriosus (PDA) and stenosis of the pulmonary artery branches. Cardiac catheterization confirmed PDA with left-to-right shunt and the proximal stenosis of the pulmonary artery branches and also an aberrant right subclavian artery. The patient was submitted to surgical ligation of the PDA and angioplasty of the right branch of the pulmonary artery. In the post-operative period and because of suspected residual stenosis of the left branch pulmonary artery (LBPA), the patient was catheterized and successfully submitted to stenting of LBPA. The patient is currently clinically stable without medication and asymptomatic. These anomalies were compatible with rubella congenital syndrome that was confirmed by serology and PCR. |
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Congenital Rubella Syndrome - A forgotten diagnosis?Rubéola congénita: diagnóstico esquecido?Images in PediatricsPalavras-chave: Síndrome Rubéola Congénita, Persistência Canal arterial, Estenose proximal ramos artéria pulmonar. Key-words: Congenital Rubella Syndrome, Persistent ductus arteriosus, Proximal stenosis pulmonary artery branches We report a 7-month-old infant, from Cabo Verde that was admitted because of fever and bacteraemia due to Streptococcus pneumoniae. The gestation was not medically accompanied and the immunization status of the mother was unknown. A severe growth retardation, hypotony, severe muscular atrophy, bilateral cataracts and deafness were found. The cardiovascular exam showed a hiperdynamic precordium and a continuous machinery murmur grade IV/VI with radiation to dorsum and significant hepatomegaly. The transthoracic echocardiogram showed a large persistent ductus arteriosus (PDA) and stenosis of the pulmonary artery branches. Cardiac catheterization confirmed PDA with left-to-right shunt and the proximal stenosis of the pulmonary artery branches and also an aberrant right subclavian artery. The patient was submitted to surgical ligation of the PDA and angioplasty of the right branch of the pulmonary artery. In the post-operative period and because of suspected residual stenosis of the left branch pulmonary artery (LBPA), the patient was catheterized and successfully submitted to stenting of LBPA. The patient is currently clinically stable without medication and asymptomatic. These anomalies were compatible with rubella congenital syndrome that was confirmed by serology and PCR. We report a 7-month-old infant, from Cabo Verde that was admitted because of fever and bacteraemia due to Streptococcus pneumoniae. The gestation was not medically accompanied and the immunization status of the mother was unknown. A severe growth retardation, hypotony, severe muscular atrophy, bilateral cataracts and deafness were found. The cardiovascular exam showed a hiperdynamic precordium and a continuous machinery murmur grade IV/VI with radiation to dorsum and significant hepatomegaly. The transthoracic echocardiogram showed a large persistent ductus arteriosus (PDA) and stenosis of the pulmonary artery branches. Cardiac catheterization confirmed PDA with left-to-right shunt and the proximal stenosis of the pulmonary artery branches and also an aberrant right subclavian artery. The patient was submitted to surgical ligation of the PDA and angioplasty of the right branch of the pulmonary artery. In the post-operative period and because of suspected residual stenosis of the left branch pulmonary artery (LBPA), the patient was catheterized and successfully submitted to stenting of LBPA. The patient is currently clinically stable without medication and asymptomatic. These anomalies were compatible with rubella congenital syndrome that was confirmed by serology and PCR. Sociedade Portuguesa de Pediatria2013-11-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2013.2614eng2184-44532184-3333B Gomes, InêsGouveia, CatarinaRebelo, MónicaBrito, M JoãoF Pinto, Fátimainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:53:39Zoai:ojs.revistas.rcaap.pt:article/2614Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:24:00.823254Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Congenital Rubella Syndrome - A forgotten diagnosis? Rubéola congénita: diagnóstico esquecido? |
title |
Congenital Rubella Syndrome - A forgotten diagnosis? |
spellingShingle |
Congenital Rubella Syndrome - A forgotten diagnosis? B Gomes, Inês Images in Pediatrics |
title_short |
Congenital Rubella Syndrome - A forgotten diagnosis? |
title_full |
Congenital Rubella Syndrome - A forgotten diagnosis? |
title_fullStr |
Congenital Rubella Syndrome - A forgotten diagnosis? |
title_full_unstemmed |
Congenital Rubella Syndrome - A forgotten diagnosis? |
title_sort |
Congenital Rubella Syndrome - A forgotten diagnosis? |
author |
B Gomes, Inês |
author_facet |
B Gomes, Inês Gouveia, Catarina Rebelo, Mónica Brito, M João F Pinto, Fátima |
author_role |
author |
author2 |
Gouveia, Catarina Rebelo, Mónica Brito, M João F Pinto, Fátima |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
B Gomes, Inês Gouveia, Catarina Rebelo, Mónica Brito, M João F Pinto, Fátima |
dc.subject.por.fl_str_mv |
Images in Pediatrics |
topic |
Images in Pediatrics |
description |
Palavras-chave: Síndrome Rubéola Congénita, Persistência Canal arterial, Estenose proximal ramos artéria pulmonar. Key-words: Congenital Rubella Syndrome, Persistent ductus arteriosus, Proximal stenosis pulmonary artery branches We report a 7-month-old infant, from Cabo Verde that was admitted because of fever and bacteraemia due to Streptococcus pneumoniae. The gestation was not medically accompanied and the immunization status of the mother was unknown. A severe growth retardation, hypotony, severe muscular atrophy, bilateral cataracts and deafness were found. The cardiovascular exam showed a hiperdynamic precordium and a continuous machinery murmur grade IV/VI with radiation to dorsum and significant hepatomegaly. The transthoracic echocardiogram showed a large persistent ductus arteriosus (PDA) and stenosis of the pulmonary artery branches. Cardiac catheterization confirmed PDA with left-to-right shunt and the proximal stenosis of the pulmonary artery branches and also an aberrant right subclavian artery. The patient was submitted to surgical ligation of the PDA and angioplasty of the right branch of the pulmonary artery. In the post-operative period and because of suspected residual stenosis of the left branch pulmonary artery (LBPA), the patient was catheterized and successfully submitted to stenting of LBPA. The patient is currently clinically stable without medication and asymptomatic. These anomalies were compatible with rubella congenital syndrome that was confirmed by serology and PCR. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-11-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2013.2614 |
url |
https://doi.org/10.25754/pjp.2013.2614 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133512726478848 |