What condition is commonly linked to spontaneous abortion if contracted early in pregnancy?

Study for the USMLE Step 3 Exam. Master key concepts with flashcards and multiple choice questions including hints and explanations. Prepare for your success!

Spontaneous abortion, or miscarriage, can be influenced by various infections contracted during early pregnancy. Each of the options provided has different implications for pregnancy outcomes.

Hand-foot-mouth disease, caused primarily by coxsackieviruses, is generally considered to have a mild course in children and most adults. While it can cause discomfort, there is limited evidence linking this infection specifically to an increased risk of spontaneous abortion in early pregnancy.

In contrast, rubella is well established as a teratogen associated with significant risks, including miscarriage, if contracted during early pregnancy. Cytomegalovirus (CMV) and varicella (chickenpox) are also associated with complications in pregnancy, including miscarriage and congenital defects.

Given the context and understanding of the associated risks during early pregnancy with these infections, hand-foot-mouth disease does not represent a common link to spontaneous abortion, making it less relevant than the other options listed. Therefore, the correct focus should be on conditions like rubella, CMV, and varicella, which have clearer associations with adverse pregnancy outcomes.

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