Near the end of the first week of life, an infant who has not been treated for any infection develops a copper-colored, maculopapular rash on the palms and around the mouth and anus. The newborn is showing signs of
a. Gonorrhea
b. Herpes simplex virus infection
c. Congenital syphilis
d. HIV
C
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A This rash is not an indication that the neonate has contracted gonorrhea. The
neonate with gonorrheal infection might present with septicemia, meningitis,
conjunctivitis and scalp abscesses.
B Infants affected with HSV will display growth restriction, skin lesions,
microcephaly, hypertonicity and seizures.
C This rash is indicative of congenital syphilis. The lesions may extend over the
trunk and extremities.
D Typically the HIV infected neonate is asymptomatic at birth. Most often the
infant will develop an opportunistic infection and rapid progression of
immunodeficiency.
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