Symptoms are not specific and correspond to Parinaud oculoglandular syndrome (1).
Parinaud's oculoglandular syndrome attributable to an encounter with a wild rabbit.
The most frequently described manifestation is Parinaud oculoglandular syndrome
, which is characterized by eye redness, foreign body sensation and epiphora .
Parinaud's Oculoglandular Syndrome
occurs in 2%-3% of patients and is characterized by an ocular granuloma and conjunctivitis.
However, atypical presentations of CSD occur and include Parinaud oculoglandular syndrome, hepatosplenic disease associated with microabscesses, osteomyelitis, neurologic involvement such as encephalitis and stellate macular retinitis, and various skin manifestations.
1,2) The most common atypical manifestation of CSD is Parinaud oculoglandular syndrome consisting of unilateral conjunctivitis and ipsilateral preauricular lymphadenopathy.
The physician referred her to an ophthalmologist, who elicited history of a recent cat scratch and prescribed doxycycline for suspected Parinaud's oculoglandular syndrome
secondary to cat-scratch fever.
Various ocular disease entities have been linked to EBV, including oculoglandular syndrome
, (4) keratitis, (5) uveitis, (6,7) dacryoadenitis, (8) and conjunctivitis.
Rarely observed atypical signs and symptoms include erythema nodosum, figurate erythemas, thrombocytopenic purpura, Perinaud's oculoglandular syndrome
, encephalopathy, hepatic granulomas, osteomyelitis, pulmonary disease, and optic neuritis (3).