Floppy Neonate as a Case of Congenital Cytomegalovirus Infection with Multisystemic Involvement

Cytomegalovirus infection is the most common infection worldwide. Majority of the neonates infected in utero have long-term consequences which can lead to hearing loss, developmental delays and even death. Early diagnosis and treatment are very critical. Most of the cases being asymptomatic poses an additional challenge in early identification of the cases. This is a case of neonate presenting with cryptorchidism, hypotonia due to cCMV. The initial diagnosis made was early onset neonatal septicemia and not cCMV. This case report highlights the importance of including TORCH panel in neonatal screening as well as in antenatal period. Keywords: congenital cytomegalovirus infection, screening, congenital infection, hypotonia