Rubella infection in adults presents with low grade fever and a maculopapular rash starting on the face and spreads caudally. Cervical lymphadenopathy is present in majority of the patients.

Patient appears normal and in no distress.

• Lymphadenopathy, may precede rash, often involves posterior auricular or suboccipital lymph nodes, can be generalized, and lasts between 5 and 8 days.^[1][2][3]

• The maculopapular rash usually starts on the face, becomes generalized within 24 hours, and lasts for about 3 days.
• It occurs in 50% to 80% of patients infected with rubella.

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  This is an 11 mo. old infant with a mild rubella rash, as well as a nondescript secondary macular eruption. – Source: https://www.cdc.gov/