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EDITOR
Giannakos et al reported on four infants with congenital rubella
syndrome born in Greece after an outbreak of rubella that peaked in
January 1999.1 We report a case of congenital rubella in
Scotland late in 1999 that can also be linked to this outbreak.
At least four universities in the United Kingdom (three in England and
one in Scotland) reported outbreaks of rubella early in 1999, all of
which included students from Greece.2 In Grampian, Scotland, 39 reported cases were confirmed by laboratory testing, and
two Greek students were among the first five patients.3 The only infant reported with congenital rubella for 1999 was born in
the Grampian Health Board area in December.4 He was admitted to hospital in Aberdeen at the age of 3 months with a purpuric
rash and failure to thrive and was found to be positive for rubella
IgM. The baby's mother had been immunised as a schoolgirl, had