A newborn has sensorineural deafness, bilateral cataracts, and a patent ductus arteriosus. The mother reports a rash-like illness in the first trimester. What is the most likely diagnosis?

• A Congenital syphilis
• B Congenital cytomegalovirus infection
• C Congenital toxoplasmosis
• D Congenital rubella syndrome ✓

Explanation

The classic triad of sensorineural deafness, cataracts, and patent ductus arteriosus is characteristic of congenital rubella syndrome. Congenital CMV typically causes periventricular calcifications and microcephaly. Toxoplasmosis presents with intracranial calcifications and chorioretinitis. Congenital syphilis causes rhinitis, skin rash, and bone changes.

Reference: Nelson Textbook of Pediatrics, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.