ACUTE HEPATITIS IN AN ADULT WITH ACQUIRED RUBELLA INFECTION

We report a case of acute hepatitis in a 28-year-old male with acquire d rubella infection. Serological tests revealed acute rubella virus in fection and ruled out infection by other common viruses, including typ e A and type B hepatitis viruses. The patient showed not only marked i ncrease of lactate dehydrogenase (LDH) activity, with only slight live r dysfunction, but also platelet and kidney injury, suggesting systemi c rubella virus infection. Because the liver dysfunction was slight, l iver biopsy was not performed. When a patient has mild, transient hepa titis accompanied by high LDH activity in comparison with both asparta te aminotransferase (AST) and alanine aminotransferase (ALT) levels, w e should take a common viral infection such as rubella into considerat ion when making a diagnosis.