This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General Considerations - Infectious Diseases, Subject name: Pediatrics
A newborn presents with petechiae skin lesions, hematuria, & platelet count is 22,000/L. Most likely caused by: 
Select and explain. 
A. Congenital CMV infection, B. Congenital rubella infection, C. Premature infants, D. Both CMV or rubella infection
D: Both CMV or rubella infection
Answer: D: Both CMV or rubella infection 
Explanation: d. Both CMV or Rubella infection(Ref: Nelson's 20/e p 1548-1551)Both congenital CMV & rubella infections can cause thrombocytopenia & Purpura due to thrombocytopenia.