Abstract
Cytomegalovirus (CMV) is one of the most common congenital viral infections in humans.
It can follow both primary and recurrent maternal infections and is an important cause
of morbidity and mortality in newborns. The effects of congenital CMV infection vary
widely from asymptomatic illness to a congenital syndrome with microcephaly, jaundice,
hepatosplenomegaly and petechiae. Infants who are asymptomatic at birth may still
present with sensorineural hearing loss, mental retardation and neuromuscular defects
at a later age. We report a full term, small-for-gestational age neonate with congenital
CMV infection who presented with unusual clinical features, including choanal atresia,
digital hypoplasia, simian crease, blueberry muffin rash, cortical atrophy and hemiparesis.
Keywords
Blueberry muffin rash - congenital cytomegalovirus infection - choanal atresia - digital
hypoplasia - hemiparesis - simian crease
