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Microbiology 14

A 3-day old newborn boy delivered vaginally at 37 weeks’ gestation presents to the emergency department with difficulty feeding, lethargy, and generalized convulsions. The pregnancy was uneventful, and Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. Vital signs are within normal limits. He is at the 5th percentile for height, 5th percentile for weight, and 95th percentile for head circumference. Physical examination shows skin purpura, posterior uveitis on ocular exam, and poor hearing. Cranial ultrasonography is performed and shows ventricular dilatation with diffuse intracranial calcifications.

Which of the following is the most likely diagnosis?

  • A) Congenital cytomegalovirus
  • B) Congenitial rubella
  • C) Congenital syphilis
  • D) Congenital toxoplasmosis
  • E) Idiopathic hearing loss


Neal Deot


Dr. Ted O'Connell

Last updated

Aug 28, 2022


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