Subclinical Hepatitis in Rubeola Infections in Young Adults

  1. Capt MICHAEL D. NICKELL;
  2. Lt Col PRESTON B. CANNADY; and
  3. Capt GREGORY A. SCHWITZER
  1. MC, USA
  2. MC, USA
  3. MC, USA
  4. Fitzsimons Army Medical Center;
    Denver, Colorado

    Excerpt

    Rubeola (measles) is an acute febrile illness predominantly affecting children. Over the past 3 years there has been a marked increase in reported cases of measles in the United States: 24 374 cases in 1975; 39 388 cases in 1976; and 54 596 cases in 1977 (1, 2). Recent data from states that report measles by age reveal a shift to a greater proportion of cases in older age groups (1). Hepatic involvement as a consequence of rubeola has been rarely recognized (3-5).

    Thirty-one patients were admitted to the hospital when their rashes became clinically evident. The tentative diagnosis of

    Note in Proof

    The opinions and assertions contained herein are the private views of the authors and are not to be construed as offical or as reflecting the views of the Department of the Army or the Department of Defense.

    Acknowledgments

    The authors thank Michelle Griffin for technical assistance and Patty Link Parry for preparation of the manuscript.

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    1. Ann Intern Med March 1, 1979 vol. 90 no. 3 354-355
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