Abstract
Presented case report describes imported rubella in a 33-year-old traveller who has returned from Tanzania and Zanzibar. Rubella represents benign febrile illness with rash and lymphadenopathy.
Complications in adults are rare; however, the intrauterine infection of foetus carries a substantial risk of miscarriage, stillbirth and development of congenital rubella syndrome. Due to the risk of infection in pregnancy there had been included immunization with attenuated live vaccine in 12-year-old girls into national immunization schedule in the former Czechoslovakia in 1982.
National vaccination programme was extended to all 2-year-old children in 1986. The incidence of rubella declined significantly after the introduction of universal immunization.
However, there have been reported several outbreaks of rubella in neighbouring countries. This case report points out the risk of rubella in our population and the need of including this infection into differential diagnosis of fever with rash after stay in tropics.