Abstract
Congenital rubella syndrome is rare in high-income countries. A 19-year-old pregnant
female, who recently immigrated to the United States, presented to clinic for prenatal
care at 21 weeks of gestational age. Prenatal ultrasound demonstrated twin gestations
with a cleft lip present in twin B. Ultrasound at 36 weeks of gestational age demonstrated
fetal demise in twin A and growth restriction in twin B. Twin B was delivered via
emergency C-section due to fetal distress. The viable neonate demonstrated multiple
abnormalities including microcephaly, patent ductus arteriosus, atrial septal defect,
cardiomegaly, pulmonary edema, congenital polar cataracts, congenital adrenal hyperplasia,
thyroiditis, cleft palate/lip, and abnormal hearing.
Keywords
congenital rubella syndrome - congenital rubella infection - congenital cataracts
- symmetric intrauterine growth restriction - TORCH infection
