A term, 2,900-g male infant is born via caesarean delivery to a gravida 2, para 1 woman. After birth, the infant is admitted in the NICU for respiratory distress due to transient tachypnea of newborn. He is discharged after 3 days and remains healthy until 35 days after birth, when he suddenly develops bilateral eye discharge that is initially watery and later becomes purulent. At 43 days after birth, the infant starts bleeding from both eyes, followed by the appearance of ecchymotic patches all over the body (Fig). A detailed history and examination reveal a history of conjunctivitis in all family members. There is no history of any fever, cough, cold, or coryza. The infant is exclusively breastfed and has received the BCG, oral poliovirus vaccine (OPV), and hepatitis B vaccines at birth. The parents seek medical advice for the infant’s current condition and he is admitted. On...

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