At three months old, he showed poor neurodevelopmental progress with gross motor delay and poor visual acuity test results (i.e., not following light). We referred the patient for a complete ophthalmology examination which revealed pan-uveitis complicated with cataracts, and exudative retinal detachment of the left eye (Figure 3). He was given levofloxacin, prednisolone acetate, and homatropine hydrobromide eye drops. He also underwent lens replacements for cataracts and the retinal detachment was resolved.
At six months, a follow-up MRI was normal. Brain Evoked Response Audiometry (BERA) was also normal. Amiel-Tison's neurological assessment showed mild abnormal motoric development with slight spasticity. He still takes the TB regimen regularly and we continue the therapy for 12 months.
His mother had a cough symptom since the 6th month of pregnancy but was not evaluated for TB. A cesarean section was planned because of breech presentation. Three days before the cesarean section, she had a low-grade fever, and the PCR result prior to the cesarean delivery was positive. Because the mother's chest x-ray after the delivery showed an infiltrate that was suggestive of TB, further evaluation for TB was done. The AFB sputum smear result was positive, so she was started on a TB regimen. Unfortunately, this was not accompanied by a TB investigation for the baby. The baby was discharged without TB prophylaxis. The placenta was not examined in the previous hospital. A further contact TB investigation result from her family was negative.