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August 28, 1937


JAMA. 1937;109(9):654-655. doi:10.1001/jama.1937.92780350001008

The occasional occurrence of meningo-encephalitis in connection with many of the acute exanthems is well established. Few cases, however, have been reported in connection with rubella. German measles has the reputation of being an innocuous disease; in fact, so harmless that the public often makes its own diagnosis and does not even consult a physician. In view of this situation, it seems proper to call attention again to the fact that encephalitis occurs in connection with this disease and to report an additional case.

In 1929 Brock related a case in which severe occipital headaches developed in a woman, aged 23, three days after the appearance of a rash, with rigidity of the neck, divergent strabismus and Babinski reflex on the right side. This case is included in the tabulation of Merritt and Koskoff.1 These authors, however, do not cite tha case, with autopsy, reported by Briggs:2 A white boy, aged 10 years, after apparent

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