Oculoglandular disease of parinaud. A manifestation of cat-scratch disease
H. A. Carithers
Among patients with cat-scratch disease, the oculoglandular form is the
most common unusual manifestation. This condition, seen in 14 of 585
patients with the infection encountered in a private pediatric practice
over a span of 23 years, belongs in the syndrome of the oculoglandular
disease of Parinaud. Most of the 14 patients described were only mildly ill
and had but little discomfort. All patients recovered without residuals.
Diagnosis is based on four criteria: exposure to a cat, usually an immature
one; the presence of a localized granuloma of the eye; the presence of
preauricular lymphadenopathy; and a positive skin test to cat-scratch
antigen of known potency. Several unusual features, never before described,
of oculoglandular disease due to cat-scratch disease are submitted.
