Rubella physical examination

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief:  Michael Maddaleni, B.S., Aravind Kuchkuntla, M.B.B.S[2]

## Overview[edit | edit source]

Rubella infection in adults presents with low grade fever and a maculopapular rash starting on the face and spreads caudally. Cervical lymphadenopathy is present in majority of the patients.

## Physical Examination[edit | edit source]

### General Appearance[edit | edit source]

Patient appears normal and in no distress.

### HEENT[edit | edit source]

* Lymphadenopathy, may precede rash, often involves posterior auricular or suboccipital lymph nodes, can be generalized, and lasts between 5 and 8 days.[1][2][3]

### Skin[edit | edit source]

* The maculopapular rash usually starts on the face, becomes generalized within 24 hours, and lasts for about 3 days.
* It occurs in 50% to 80% of patients infected with rubella.

## Images[edit | edit source]

* This is an 11 mo. old infant with a mild rubella rash, as well as a nondescript secondary macular eruption. - Source: https://www.cdc.gov/

## References[edit | edit source]

1. ↑ Kliegman, Robert; Stanton, Bonita; St. Geme, Joseph; Schor, Nina (2016). "Chapter 247:Rubella". Nelson Textbook of Pediatrics Twentieth Edition. Elsevier. pp. 1548–1552. ISBN 978-1-4557-7566-8.
2. ↑ Goldman, Lee; Schafer, Andrew (2016). "Chapter 368:Rubella (German Measles)". Goldman-Cecil Medicine, 25th Edition. Elsevier. pp. 2204–2206. ISBN 9781455750177.
3. ↑ Buimovici-Klein E, Cooper LZ (1985). "Cell-mediated immune response in rubella infections". Rev Infect Dis. 7 Suppl 1: S123–8. PMID 2408312.

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