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The Pathogenic Effects of Rubella
In general, in children or adults who get infected, we are talking with rubella about a very, very mild, self-limited illness if you have symptoms at all. This is a virus that can infect pretty much any cell type. At least part of the pathogenic effect of rubella is by directly killing cells, essentially. That means it's not just our immune reaction or our immune response that's causing the symptoms that we see.