Parinaud oculoglandular syndrome
Definition
Parinaud oculoglandular syndrome is an eye problem similar to conjunctivitis ("pink eye"). It usually affects only one eye and is accompanied by nearby swollen lymph nodes and an illness with a fever.
Alternative Names
Oculoglandular syndrome
Causes
Parinaud oculoglandular syndrome (POS) is caused by an infection by bacteria, virus, fungus, or a parasite.
The most common causes are cat-scratch disease and tularemia (rabbit fever). The bacteria that cause either condition can infect the eye. Either the bacteria can directly enter the eye (on a finger or other object), or air droplets that carry the bacteria can land on the eye.
Other infectious diseases may spread this same way, or through the bloodstream to the eye.
Symptoms
- Red, irritated, and painful eye (looks like "pink eye")
- Fever
- General ill-feeling
- Increased tearing (possible)
- Swelling of nearby lymph glands (often in front of the ear)
Exams and Tests
An examination shows:
- Fever and other signs of illness
- Red, tender, inflamed eye
- Tender lymph nodes may be present in front of the ear
- There may be growths (conjunctival nodules) on the inside of the eylid or the white of the eye
Blood tests will be done to check for infection. A white blood cell count may be high or low, depending on the cause of the infection.
Blood tests to check antibody levels is the main method used to diagnose many of the infections that cause POS. Other tests may include:
- Biopsy of the lymph node
- Laboratory culture of eye fluids, lymph node tissue, or blood
Treatment
Depending on the cause of the infection, antibiotics may be helpful. Surgery may be necessary in rare cases to clean away the infected tissues.
Outlook (Prognosis)
The outlook depends on the cause of the infection. In general, if the diagnosis is made early and treatment starts immediately, the outcome of POS can be very good.
Possible Complications
Serious complications are rare.
The conjunctival nodules can sometimes form sores (ulcers) during the healing process. The infection can spread to nearby tissues or into the bloodstream.
When to Contact a Medical Professional
You should call your health care provider if you develop a red, irritated, painful eye.
Prevention
Frequent hand washing can reduce the likelihood of getting POS. Avoid being scratched by a cat, even a healthy cat. You can avoid tularemia by not having contact with wild rabbits, squirrels, or ticks.
References
Tu EY. Parinaud's oculoglandular syndrome. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 4.
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
Adventist HealthCare · 301-315-3030 · 1801 Research BLVD, Suite 400, Rockville, MD 20850
Get Care
Health & Wellness
Patient Information
Website Information
Ways of Giving
