A 16yo girl presents to the ED with symptoms and rash consistent with varicella (chickenpox). She was never vaccinated, as a personal family choice. She also recently gave birth.
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July 28, 2017 at 3:55 am
D.
The highest risk for congenital varicella is between 8 and 20 weeks gestation, but cases have been reported as late as 28 weeks gestation. The highest risk to the infant is when the mother develops symptoms from 5 days before to 2 days after birth since there is not enough time for the mother to develop immunity and pass protective antibodies transplacentally. Check out PEM Playbook’s latest on Vaccine-Preventable Illnesses: Part 1 http://pemplaybook.org/podcast/vaccine-preventable-illnesses-part-1/