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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Doctor Available To Interpret This Report?

hi doctor
i am 15wks pregnant...at 11 wks i was tested positive for both rubella IGG +23.8 and IGM +1.8...i had the test done a month later and still results are IGG +17.5 and IGM +1.72..i have no symptoms at all and did not develop any rash..what should I do and what do the results mean?
Fri, 4 Jul 2014
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Pathologist and Microbiologist,  's  Response
Hi,
After going through the results, my opinion is it requires further testing with rubella avidity test.
The presence of both IgG and IGM antibodies suggests that this is either a secondary infection or a later primary infection. It could be a possible re-infection.
To rule out causes like persistent IgM syndrome, further testing with Rubella avidity test is necessary to differentiate between primary infection or re-infection.

Get the test done. However, i can assure you, low IgM levels in re-infection are transient and generally not associate with congenital rubella syndrome (fetus wont be affected).
Any further queries, happy to help again.
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Is There Any Doctor Available To Interpret This Report?

Hi, After going through the results, my opinion is it requires further testing with rubella avidity test. The presence of both IgG and IGM antibodies suggests that this is either a secondary infection or a later primary infection. It could be a possible re-infection. To rule out causes like persistent IgM syndrome, further testing with Rubella avidity test is necessary to differentiate between primary infection or re-infection. Get the test done. However, i can assure you, low IgM levels in re-infection are transient and generally not associate with congenital rubella syndrome (fetus wont be affected). Any further queries, happy to help again.