PMC6324148_01
(a) Prenatal USG at 34th week of gestation showed dilated 3rd and 4th ventricle with a posterior fossa cyst, communicating with 4th ventricle and (b) computed tomography scan of the brain showing enlarged 3rd and 4th ventricle with a posterior fossa cyst
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F1
(a) Clinical photograph of the index patient showing enlarged head, swollen lids, and discharge and (b and c) grayish white, thick, gelatinous, pseudomembranes adherent to the tarsal conjunctiva more in the right eye than left
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F2
General physical examination revealed a healthy appearing baby with an enlarged head [Fig. 2a] with a palpable subcutaneous tube from head to abdomen. On eversion of the lids, the conjunctiva showed grayish white, thick, gelatinous, pseudomembranes with woody consistency adherent to the tarsal conjunctiva not attached to the bulbar conjunctiva or cornea, more in right eye then left [Fig. 2b and c].
(a) Histopathological examination with eosin and hemotoxylin stains of the pseudomembranes showing thinned and eroded epithelium with subepithelial deposits of hyaline-like eosinophilic material containing clotted fibrinogen, immunoglobulins and albumin and (b) foci of granulation
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F3
The peeled pseudomembranes sent for histopathological examination with eosin and hemotoxylin stains showed thinned and eroded epithelium with subepithelial deposits of hyaline-like eosinophilic material containing clotted fibrinogen, immunoglobulins, and albumin [Fig. 3a]. In addition, foci of granulation tissues with lymphocytes, plasma cells, and granulocytes were seen [Fig. 3b].