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Is Roseola a threatning disease and is it contagious?

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Dr. Venkata Subrahmanaym Mukkavilli

Pediatrician

Practicing since :1967

Answered : 2341 Questions

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Posted on Sat, 11 Jan 2014 in Child Health
Question: My 2 year old daughter had a low fever last Sun (ranging btwn 99.9 and 101). No fever since. Then Weds night, during her bath I noticed she had these tiny pink bumps all over her entire body. They seem to come out more in the bath. They are so tiny, I would have probably never noticed them otherwise. Made an appt with her pediatrician the next day. As we walked outside that next morning, the sunlight hit her face and she covered her eyes screaming. I went back for her sunglasses and that seemed to help. I realized then she was having extreme sensitivity to light in her eyes. We went to the appt, the doctor looked at her rash real quick. I told her about the low fever she had on Sun and the light sensitivity issue we experienced and the doctor said it looks like she has the roseola virus. She explained to me there would be a low grade fever for about 2-3 days and then the rash would appear at the end of the virus. She gave us a clearance note for my daughter to return to daycare the following day. When I asked about the light sensitivity, she said it was just probably from the virus. I asked if this had anything to do with MMR vaccination my daughter had just received about 1 1/2 weeks prior to the rash appearing. The doctor advised that it has nothing to do with the shot. It was just a coincidence. So we took the note for school and left. After updating family members and the daycare on my daughter's diagnosis, I come to find out from people whose children have had the roseola virus, the main symptom is very high fever for 2-3 days, then followed by a rash. And fever seizures could happen (which happened to my nephew). So I looked up the details of this on WebMD and sure enough it says high fevers, usually btwn 103.5 to 105. My daughter did not have this. I then looked up the symptoms for Measles, Mumps and Rubella. The symptoms for Rubella match to a tee. The tiny red or pink bumps, clustered on the back and chest, sporadic on the arms and legs, the light sensitivity, the redness and inflammation under her eyes and sometimes a low grade fever could be present. I know that a lot of the younger doctors today have never actually seen any of these diseases as nobody gets them anymore due to the vaccinations. But I know the diagnosis of roseola virus is not correct. I really feel in my gut that this is Rubella, resulting from the MMR shot. I did read that it is rare, but 5% of children who receive the vaccination can develop a mild case of Rubella anytime up to 16 days after receiving the shot. I also read that this is a mild disease, known as the 3 day measles. Which indicates to me that it will pass quickly? My questions are: Is there anything I need to watch for or worry about? Or is this something that she should be fine working through on her own and should pass quickly? Also, is there a 2nd MMR booster she will be required to get when she gets older before attending public school? If so, could this happen again? I decided not to take her back to school that next day after researching the above information. She goes to daycare full time and there are younger children there who have not yet had their MMR vaccination. To be safe, how much time must pass before she is not contagious to the other children, or to pregnant women, as I read Rubella is ever really only a threat to pregnant woman. There are 2 pregnant teachers at the school, so I want to be sure I allow enough time before sending her back to daycare. Please let me know what you think of all this. Thank you so much in advance for your help!
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Answered by Dr. Venkata Subrahmanaym Mukkavilli 3 hours later
Brief Answer: Rosella is self curing condition within 3days. Detailed Answer: Hi, Thanks and welcome to XXXXXXX Your child has been seen by a pediatrician and diagnosed as Roseola. It is a mild and self limiting disease known as 3 day measles. Once temperature and rash subsides she can attend day care and is not infective to other children Pregnant mothers also have no problem with your child. Even if you think Rubella, MMR is given to prevent CRS. CRS occurs if they exposed within first trimester of pregnancy. You can go about with your MMR shots as usual In Roseola the fever disappears once the rash occurs, while in measles fever increases with rash. If you are still in doubt go for second opinion from another pediatrician. It is difficult to come to an opinion without seeing the case. Hope this answer serves your purpose. Please feel free to ask any more queries. Dr.M.V.Subrahmanyam. .
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli 15 hours later
Yes, thank you very much!
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Answered by Dr. Venkata Subrahmanaym Mukkavilli 10 hours later
Brief Answer: welcome. Detailed Answer: HI, I APPRECIATE YOUR MODESTY Please feel free to ask me any more queries Dr.M.V.Subrahmanyam.
Above answer was peer-reviewed by : Dr. Shanthi.E
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