Oculoglandular syndrome of Parinaud
The next 2 most common causative organisms are Francisella tularensis (tularemia) and Sporothrix schenickii (sporotrichosis). Less commonly implicated organisms include Mycobacterium tuberculosis and leprae, Coccidioides immitis, Treponema pallidum, Haemophilus ducreyi, Pasteurella multocida, Yersinia species, Listeria monocytogenes, Blastomyces dermatitidis, Rickettsia conorii, Chlamydia trachomatis, and Burkholderia mallei. Viral causes include herpes simplex virus, Epstein-Barr virus, and mumps.
Symptoms typically begin with conjunctivitis approximately 3 days to 3 weeks after inoculation and can include mucous discharge with mild periorbital edema or pain or decreased vision. Lymphadenopathy may occur simultaneously or 1-2 weeks after conjunctivitis. Low-grade fevers and lymph node tenderness may also be present. The lymphadenopathy may become suppurative in approximately 10%-40% of cases.
OSP can rarely progress to severe disseminated infection requiring hospitalization.
H10.89 – Other conjunctivitis
128350005 – Bacterial conjunctivitis
Differential Diagnosis & Pitfalls