Question 2

A neonate born at 31 weeks gestational age has initial Apgar scores of 6 at one minute and 7 at five minutes, but then begins to have respiratory distress, with grunting and retractions. Preterm premature rupture of membranes had been present for a week. The birth weight is normal for gestational age. No anomalies are noted. The microscopic appearance of the fetal membranes seen here from autopsy most strongly suggests infection with:

A Group B Streptococcus

B Cytomegalovirus

C Treponema pallidum

D Candida albicans

E Mycobacterium avium complex

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