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PHOTO QUIZ

1. A late PT,AGA, female baby born out of a non consanguineous marriage to a 37 yrs old multigravida via
LSCS.Antenatal USG- B/L dilated lateral ventricles.Post natal period- clinically stable, No external anomalies.
Labs- severe thrombocytopenia ,MRI brain- B/L periventricular&parenchymal calcification & obstructive
hydrocephalus

Findings diagnosis & Treatment

Fundoscopy – Right eye Fundoscopy – Left eye

2. Newborn soon after birth,Diagnosis ?

Answers Left eye- Foveal threatening active retinochoroiditis Intrauterine infection _- congenital Toxoplasmosis Positive Toxoplasma IgG & IgM,positive CSF PCR, increase Pyrimethamine+ sulfadiazine+ folinic acid Blister& skin erosion right upper limb

1. Right Eye - Macular scar in Toxoplasma IgG Treatment options Clindamycin – a good alternative Steroids in vision threatening lesions 2. Epidermolysis bullosa

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