Oftalmol Zh.2014;4:95-100

УДК 617.711-002-02-036-07-08

https://doi.org/10.31288/oftalmolzh2014495100

Parinaud Conjunctivitis

V. V. Mavrutenkov

State Establishment DniProPetrovsk medical academy of Health Ministry of Ukraine; DniProPetrovsk (Ukraine)

Key words: Parinaud conjunctivitis, children, B. henselae infection, diagnostic, treatment.

Parinaud Conjunctivitis or oculo-glandular syndrome — polyethiological syndrome characterized by follicular, granulomatous conjunctivitis (with or without ulceration), accompanied with enlarged anterior cervical and/or mandibular lymph nodes on the same side.

Material and methods. A description of clinical example of isolated Parinaud conjunctivitis in a 13 year old white boy (Ukrainian) without a precise connection with any infection, including cat scratch disease or somatic pathology is provided. Results. The treatment with systemic (per os) azithromycin 500 mg at once, in a course of five days led to recovery.

Conclusion. Thus, the only clinical manifestation of B. henselae infection can be isolated Parinaud conjunctivitis, and in the case of granulomatous conjunctivitis, especially in children, felinosis should always be excluded in differential diagno­sis. In individuals without immunity disorders, Parinaud conjunctivitis has good prognosis and requires minimal therapeutic expenses in the form of systemic administration of antibiotics of macrolide class without any other additional pharmacological agents.

References

1.     Dorland's English-Ukrainian illustrated medical diction­ary. Lvov: NAUTILUS; 2002. 2688 p.

2.     Elmer TuY. Parinaud's oculoglandular syndrome. Ch. 4. Available at: http://www.oculist.net/downaton502/prof/ ebook/duanes/pages/v4/v4c004.html

3.     Rolak LA. Secrets of neurology. Translated from Eng­lish. Levin OS, editor. M.: Izd-vo BINOM; 2008.584 p.

4.     Cunningham ET, Koehler JE. Ocular Bartonellosis. Am. J. Ophthalmology. 2000;130(3):340- 9.

5.     Fischer GW. Cat Scratch Disease. Principles and Prac­tice of Infectious Diseases. Ed. by Mandell GL, Bennett J E, Dolin R. 6th ed. N. Y.: Churchill Livingstone, Elsevier Inc. 2007;1:1310-2.

6.     Springerimages. Available at: http://www.springerimages. com/Images/RSS/1- 10.1007_s00415- 011- 5919-y-0.

7.     Parinaud's oculoglandular syndrome. Whonamedit.com. Available at: http://www.whonamedit.com/synd.cfm/400.html

8.     Orphanet. Available at: http://www.orpha.net/consor/ www/cgibin/index.php?lng=EN

9.     Daniela Hoehn, Kamalesh K Bala, Wen Fan, Cameron C, Yin Parinaud. Oculoglandular Syndrome as a Prominent Presenting Feature of Kikuchi-Fujimoto Disease — A Case Report and Review of the Literature. North Am. J. Med Sci. 2011;4(2): 96-9.

10.  Petrunya AM, Lupyr SA. Infectious diseases of the eye in children. Z turbotoyu pro dytynu. 2012;7(34):24- 8. Russian.

11.  Chappell MC, Jumper JM, McDonald HR et al. Spotting Bartonella — Associated Uveitis. Rev. Ophthalmol­ogy. 2011;3(21). Available at: http://www.revophth.com/ content/d/retinal_insider/c/27334/

12.  Transmission Cat scratch disease (CSD), Bartonella henselae. Available at:http://www.cdc.gov/bartonella/transmission/index.html

13.  The vector-borne human infections of Europe. Their distribution and burden on public health. Copenhagen, Denmark: WHO; 2004. 145 p.

14.  Duane's Ophthalmology on CD-ROM, 2006 Ed. Available at: http://www.oculist.net/downaton502/prof/ebook/ duanes/pages/v4/v4c004.html