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Consider congenital rubella syndrome in infants with compatible signs, particularly immigrants from countries without rubella control programs, the Centers for Disease Control and Prevention advised.
In 2004, a 10-week-old infant born to a mother who had emigrated from the Cote d'Ivoire was brought to an emergency department in New Hampshire with fever, vomiting, irritability, and poor feeding.
While she was in the hospital, the infant-who had been born with a cataract in her left eye-was diagnosed with microcephaly, patent ductus arteriosus, bilateral hearing impairment, and hepatosplenomegaly, as well as failure to thrive (MMWR 2005;54:1160-1).
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