Symptoms are not specific and correspond to Parinaud oculoglandular syndrome (1).
Parinaud's oculoglandular syndrome attributable to an encounter with a wild rabbit.
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.
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).