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August 1981

Simultaneous Rubeola and Chickenpox in an Adult

Arch Intern Med. 1981;141(9):1241. doi:10.1001/archinte.1981.00340090137040

To the Editor.  —We wish to draw attention to the simultaneous occurrence of rubeola and chickenpox in an adult.

Report of a Case.  —A 27-year-old male medical intern who had not been vaccinated for rubeola and had not had chickenpox as a child experienced a febrile illness and rash. Initially, the rash consisted of pruritic maculopapular lesions on the face and trunk. By the second day, the pruritus had diminished, the temperature was 40 °C, and the patient was fatigued. In addition, he had a headache and experienced some nausea, vomiting, and four loose stools. On the third day, the maculopapules were 1 to 1.5 cm in diameter; located on the face, trunk, palms, and soles; and associated with posterior cervical lymphadenopathy. By the fourth day, many of the maculopapules had clear, small vesicles in their centers. A vesicle was seen on the soft palate, and mild conjunctivitis was evident.

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