No other features are seen grossly. There are inclusions within enlarged tubular cells consistent with cytomegalovirus. Name some causes for hydrops fetalis. A poor Apgar score at 5 minutes suggests a poor outcome. This is a case of congenital cytomegalovirus infection.
Most cases are asymptomatic in the neonatal period.
The organs most frequently affected are kidney, liver, and lung. Hepatosplenomegaly usually results from increased extramedullary hematopoiesis. If the fetus is affected early in pregnancy, then the brain may show necrosis, calcification, and microcephaly.