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Question: ID

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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Which of the following situations is highest risk for her newborn?

pemsou5_wp • July 25, 2017

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  1. Kelly July 28, 2017 - 3:55 am Reply

    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

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