system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 3175-g (7-lb) female newborn is delivered at 37 weeks to a 26-year-old primigravid woman. Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. The pregnancy had been uncomplicated. The mother had no prenatal care. She immigrated to the US from Brazil 2 years ago. Immunization records are not available. One day after delivery, the newborn's temperature is 37.5°C (99.5°F), pulse is 182/min, respirations are 60/min, and blood pressure is 82/60 mm Hg. The lungs are clear to auscultation. Cardiac examination shows a continuous heart murmur. The abdomen is soft and nontender. There are several discolored areas on the skin that are non-blanchable upon pressure application. Slit lamp examination shows cloudy lenses in both eyes. The newborn does not pass her auditory screening tests. Which of the following is the most likely diagnosis?
assistant
Congenital rubella infection