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Kaplan Qbank USMLE



Author4 Posts
  #1

A two-week-old infant was admitted for a two-day history of fever and irritability. He was born to a 20-year-old mother with no prior pregnancies but a gestation complicated by a painful vaginal infection in the sixth month, treated with an unknown oral medicine. On physical examination, the infant was found to have small red vesicular and pustular lesions on the scalp, was irritable and running a fever of 102.5°F. The mother had been immunized as a child against measles, mumps and rubella, but her antibody titer to these viruses were unknown. She had chicken pox as a child.
Based on this information, the most likely cause of the infant’s illness is which of the following:


A Congenital Cytomegalovrus infection
B Congenital Herpes Simplex infection
C Congenital Rubellavirus infection
D Congenital Varicellavirus infection

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satheesh

  #2

B?herpes simplex!

  #3

correct,

vesicular and pustular lesion are charecteristic

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satheesh

  #4

well such lesion are characteristic of both HSV and HZV, but mom's infection in kinder years negates the HZV posibility, her IgGs would have protected her and the baby, since baby is only 2 wks old.

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