A 1-Hour-Old Boy Is Brought to the Nursery for Evaluation

A 1-hour-old boy is brought to the nursery for evaluation.  The mother arrived at the hospital in labor; she received no prenatal care but says that the pregnancy was uncomplicated.  As a result of a category III fetal heart rate tracing, the patient was born via cesarean delivery and had a strong cry and good muscle tone immediately after delivery.  Apgar scores were 8 and 9 at 1 and 5 minutes, respectively.  On examination, he is at the 5th percentile for weight, 3rd percentile for length, and 8th percentile for head circumference.  Auscultation of the heart and lungs is unremarkable.  Hepatosplenomegaly is present.  Over the next several days, the patient develops jaundice, clear rhinorrhea, and a maculopapular rash on the feet and buttocks that later desquamates.  This patient most likely has which of the following congenital infections?

A) Cytomegalovirus
B) HIV
C) Rubella
D) Syphilis
E) Toxoplasmosis

Correct Answer:

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