Parinaud's oculoglandular syndrome associated with paracoccidioidomycosis

Costa, Paulo Sérgio Gonçalves da; Hollanda, Beatriz Vitória Sabbagh; Assis, Raimunda Violante Campos de; Costa, Sandra Márcia Carvalho Ribeiro; Valle, Lena Márcia de Carvalho

doi:10.1590/s0036-46652002000100008

Cited by 9 publications

(3 citation statements)

References 24 publications

(23 reference statements)

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“…Although BH is the agent mainly responsible for POGS, other infrequent infectious agents have been reported, including Yersinia enterocolitica , Herpes simplex virus I, Epstein Barr virus and members of the Rickettsia genus, among others. 8 , 9 , 10 , 11 , 12 …”

Section: Discussionmentioning

confidence: 99%

Isolated conjunctival granuloma as a first manifestation of Parinaud's oculoglandular syndrome: A case report

Dominguez

Cartes

Sabat

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose Parinaud's oculo-glandular syndrome (POGS) is the most frequent manifestation of ocular bartonellosis, and usually presents with local lymphadenopathies and systemic symptoms. We present a case of isolated conjunctival granuloma as the sole manifestation of ocular bartonellosis. Observations A 67-year-old female presented to the authors’ eye clinic with complaints of a 2-week history of unilateral red eye and chemosis. Slit lamp examination revealed an isolated bulbar conjunctival granuloma. The remainder of the eye examination was unremarkable. Topical treatment with gatifloxacin and prednisolone acetate was started. Etiological work-up was performed. General laboratory tests revealed only a mild leukocytosis, and interferon gamma-release assay and chest computed tomography were normal. Serological testing for Bartonella henselae was positive at titers of 1:1024. Three weeks after initial symptoms, lymphadenopathies, malaise, and fever appeared. Systemic azithromycin was added, which resulted in complete regression of the disease. Conclusion and importance Conjunctival granulomas present a wide range of differential diagnoses to the practitioner. Ocular bartonellosis is a relevant cause of conjunctival granuloma. POGS should be suspected in cases of conjunctival granulomata non-responsive to local therapy. It is important to consider that other agents to treat POGS have been described and are available, and that appropriate serological tests should be performed.

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Section: Discussionmentioning

confidence: 99%

Isolated conjunctival granuloma as a first manifestation of Parinaud's oculoglandular syndrome: A case report

Dominguez

Cartes

Sabat

et al. 2019

American Journal of Ophthalmology Case Reports

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“…Desde então, diversos agentes etiológicos foram identificados, tais como Chlamydia trachomatis, Listeria monocytogenes, Treponema pallidum (7,8) , e Mycobacterium tuberculosis (9,11) . Recentemente, alguns fungos foram descritos como causadores da SOP, como Paracoccidioides brasiliensis (12) , Cryptococcus neoformans (13) , e Sporothrix schenkii (14,15) . Alguns vírus como Herpes simplex tipo 1 (16) e Epstein-Barr (17,18) também foram isolados em pacientes com a síndrome.…”

Section: Discussionunclassified

Síndrome oculoglandular de Parinaud causada por esporotricose

Ribeiro¹,

Bisol²,

Menezes³

2010

Rev. bras.oftalmol.

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“…A associação entre doença da arranhadura do gato (DAG) e a síndrome óculo-glandular de Parinaud (SOGP) é conhecida desde 1937 (1)(2)(3) . O bacilo Gram negativo Bartonella henselae é o agente etiológico mais comumente envolvido.…”

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