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Previous Volume 349:691-700 August 14, 2003 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A newborn boy was admitted to a special-care nursery because of petechiae and thrombocytopenia.

The boy had been delivered at this hospital at 39 weeks' gestation to a 32-year-old woman who had had premature rupture of the membranes 16 hours before delivery. A single dose of penicillin was administered to the mother before vacuum-assisted delivery. The Apgar score was 9 at one minute and at five minutes. A diffuse petechial rash, most prominent on the face and trunk, was noted at delivery, and the baby was transferred to a newborn nursery.

The mother had never smoked, and she had not . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John F. Modlin's Diagnosis

Diagnostic Discussion

Discussion of Management

Pathological Diagnosis

Source Information

From the Departments of Pediatrics and Medicine, Dartmouth–Hitchcock Medical Center and Dartmouth Medical School, Lebanon, N.H. (J.F.M.); the Departments of Radiology (P.E.G.), Pathology (R.S.M., D.J.R.), and Pediatrics (K.S.K.), Massachusetts General Hospital and Harvard Medical School.

Related Letters:

Case 25-2003: Congenital Cytomegalovirus Infection
Barton L. L., Modlin J. F.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1575-1576, Oct 16, 2003. Correspondence

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• Barton, L. L., Modlin, J. F. (2003). Case 25-2003: Congenital Cytomegalovirus Infection. NEJM 349: 1575-1576 [Full Text]