{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:13:59Z","timestamp":1789514039333,"version":"build-2803163510"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Congenital rubella syndrome (CRS) is a devastating condition associated with significant morbidity. Due to universal vaccination programs, it is currently a rare condition, especially in developed countries. We report an infant born in Israel to a foreign worker from the Philippines who presented with a blueberry muffin rash immediately after birth. Initial workup revealed sonographic brain anomalies, abnormal hearing tests, and a patent ductus arteriosus. CRS was subsequently confirmed by laboratory diagnosis. Rubella virus genotype 1E was detected in the infant\u2019s nasopharyngeal swab and urine samples. This was the first case of CRS in Israel in 20 years, emphasizing the need to \u201cthink outside the box\u201d when dealing with infants of mothers who are foreign workers, refugees, or visitors of foreign relatives, in which rubella immune status is unknown. Additionally, public health authorities should consider the routine assessment of rubella immunity status of foreign workers in order to avoid such tragic, preventable diseases.<\/jats:p>\n               <jats:p>We present a case of congenital rubella syndrome \u2013 rarely seen in developed countries. This emphasis the need to \u201cthink out of the box\u201d when dealing with infants of mothers who come from countries in which the vaccination program is not well established.<\/jats:p>","DOI":"10.1093\/jpids\/piab030","type":"journal-article","created":{"date-parts":[[2021,4,18]],"date-time":"2021-04-18T03:06:52Z","timestamp":1618715212000},"page":"1105-1107","source":"Crossref","is-referenced-by-count":1,"title":["Expect the Unexpected\u2014First Case of Congenital Rubella Syndrome in Israel in 20 Years: A Case Report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-0375","authenticated-orcid":false,"given":"Michal","family":"Molad","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Carmel Medical Center, Haifa, Israel"},{"name":"Rappaport School of Medicine, Technion\u2013Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayala","family":"Gover","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Carmel Medical Center, Haifa, Israel"},{"name":"Rappaport School of Medicine, Technion\u2013Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Ephros","sequence":"additional","affiliation":[{"name":"Rappaport School of Medicine, Technion\u2013Israel Institute of Technology, Haifa, Israel"},{"name":"Pediatric Department, Carmel Medical Center, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Lavie-Nevo","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Carmel Medical Center, Haifa, Israel"},{"name":"Rappaport School of Medicine, Technion\u2013Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Waisman","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Carmel Medical Center, Haifa, Israel"},{"name":"Rappaport School of Medicine, Technion\u2013Israel Institute of Technology, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Levin","sequence":"additional","affiliation":[{"name":"Central Virology Laboratory, Ministry of Health, Sheba Medical Center, Tel-Hashomer, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yara","family":"Kanaaneh","sequence":"additional","affiliation":[{"name":"Central Virology Laboratory, Ministry of Health, Sheba Medical Center, Tel-Hashomer, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Indenbaum","sequence":"additional","affiliation":[{"name":"Central Virology Laboratory, Ministry of Health, Sheba Medical Center, Tel-Hashomer, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"2021123116214151200_CIT0001","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1007\/BF00441403","article-title":"Sonography of subependymal cysts in congenital rubella syndrome","volume":"148","author":"Beltinger","year":"1988","journal-title":"Eur J Pediatr"},{"key":"2021123116214151200_CIT0002","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jviromet.2008.01.032","article-title":"A multiplex TaqMan PCR assay for the detection of measles and rubella virus","volume":"149","author":"H\u00fcbschen","year":"2008","journal-title":"J Virol Methods"},{"key":"2021123116214151200_CIT0003","first-page":"337","article-title":"Rubella virus nomenclature update: 2013","volume":"88","year":"2013","journal-title":"Wkly Epidemiol Rec"},{"key":"2021123116214151200_CIT0004","doi-asserted-by":"crossref","first-page":"800","DOI":"10.3201\/eid2404.171540","article-title":"Imported congenital rubella syndrome, United States, 2017","volume":"24","author":"Al Hammoud","year":"2018","journal-title":"Emerg Infect Dis"},{"key":"2021123116214151200_CIT0005","first-page":"413","year":"2010"},{"key":"2021123116214151200_CIT0006","author":"Gavi, WHO, and UNICEF."},{"key":"2021123116214151200_CIT0007","year":"2009"}],"container-title":["Journal of the Pediatric Infectious Diseases 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