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Old 07-08-2011
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Liver A 3 week old baby girl with hepatomegaly

A 3 week old baby girl presents with hepatosplenomegaly and a thick purulent bloody nasal discharge. Oval,maculopapular skin lesions are present on the abdomen. The neurological exam is normal, including head circumference. Which of the following is the most likely cause?

A. CMV
B. GBS
C. HSV
D. T. gondii
E. T. Pallidum
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  #2  
Old 07-08-2011
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not D. T. gondii and not A. CMV and not C. HSV (changes HC )

iam confused between B and E

ithink the answer
E. T. Pallidum
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Old 07-08-2011
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Well I also go for E Syphilis but the question must have hyperbilirubinemia which make this question even more diagnostic for this condition still it is Syphillis
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Old 07-08-2011
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The correct answer is E. Transplacental passage of T. Pallidum causes widespread disease in the fetus. Organs most affected are brain,bone,liver and lung. Hepatosplenomegaly, rare in neonates with GBS or HSV infections occur in 90% of neonates with congenital syphilis.> There are mucocutaneous lesions produce a persistent,purulent often bloody nasal discharge called SNUFFLES.
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insomnic (07-08-2011)



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