Parinaud Oculoglandular Syndrome

Parinaud Oculoglandular Syndrome
SYMPTOMS Discomfort | Mucopurulent discharge | Possible fever
SIGNS Conjunctival injection | Mucopurulent discharge | Preauricular (and/or submandibular) lymphadenopathy | Conjunctival nodules
WORK-UP Thorough history. Slit lamp examination
TREATMENT Oral ibuprofen or tylenol (antipyretics) | Tx is dependent on the etiology: Cat-scratch: Oral Bactrim or Azithromycin | Tularemia: IV or IM Gentamicin or oral Doxycycline
FOLLOW-UP Weekly during treatment
ADDITIONAL LAB | TESTS Consider serology and/or cultures
ETIOLOGY Most commonly Bartonella henselae (Cat-scratch disease) | Tularemia | Tuberculosis.
DIFFERENTIAL DX EKC | Newcastle disease | Gonococcal conjunctivitis | Chlamydial conjunctivitis
NOTES May take months to resolve