Pulmonary Calcification in a Congenital Cytomegalovirus Infection

A 1-day-old, small for gestational age male infant was born at 39 weeks of gestation via normal, spontaneous vaginal delivery with a birth weight of 2044 g. Physical examination revealed microcephaly but no other external malformations. Congenital cytomegalovirus (CMV) infection was diagnosed by a positive urine CMV polymerase chain reaction performed on day 1. Serologic tests for other congenital infections caused by toxoplasma, rubella, and herpes simplex virus were negative. There was no evidence of hearing loss, retinitis, or hepatitis.

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