The Astonishing, Classical Blueberry Muffin Rash: An Obstetric Case Report on Fetal Outcome in Congenital Rubella Syndrome

Abstract

Background: A family awaits perhaps the biggest moment of joy of their lives on New Year’s Eve when a 37-year-old female with twin gestation is conceived after several years through In vitro fertilization. But a rude shock hits the doctors as well as the expecting parents when one of the twin babies, is found to have congenital rubella syndrome, which had gone undiagnosed throughout the antenatal period. A classical blueberry muffin appearance, after moments of confoundment, reveals the diagnosis and a lesson on the importance of pre-conceptional immunization and monitoring of the second twin from its affliction. Aim: To understand intrauterine infections, especially rubella, its prevention, and clinical presentation. Case description: A 37-year-old female with twin gestation conceived via assisted reproductive techniques, delivered a child with congenital rubella syndrome. Clinical significance and conclusion: Intrauterine infections can be a significant cause of sporadic abortions and congenital abnormalities. The prevention, diagnosis, and timely treatment can prevent its deleterious fetal effects. Also, an attempt to understand a rare, but classical presentation of congenital rubella—blueberry muffin rash—and its other autopsy findings.