Enfermedad por arañazo de gato y síndrome oculoglandular de Parinaud: a propósito de un caso clínico

Emanuel Romero; Liliana Abuin; Julieta Villalba; Camila Rocco; Cecilia Schweitzer; Joaquín Rodríguez; Alejo Martínez Peterlin; Laura Cardozo

doi:10.70313/2718.7446.v16.n03.246

Authors

Emanuel Romero Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Liliana Abuin Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Julieta Villalba Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Camila Rocco Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Cecilia Schweitzer Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Joaquín Rodríguez Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Alejo Martínez Peterlin Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.
Laura Cardozo Servicio de Oftalmología, Hospital Interzonal General de Agudos Prof. Dr. Rodolfo Rossi, La Plata, provincia de Buenos Aires, Argentina.

DOI:

https://doi.org/10.70313/2718.7446.v16.n03.246

Keywords:

cat scratch disease, Parinaud oculoglandular syndrome, unilateral granulomatous conjunctivitis

Abstract

Objective: To present a case of cat scratch disease expressed through Parinaud oculoglandular syndrome.

Case report: A 15-year-old patient consulted for left red eye, febrile condition with parotiditis and ipsilateral adenopathy of 5 days of evolution. Unilateral granulomatous conjunctivitis was observed, representing the expression of Parinaud’s syndrome. Anamnesis revealed a history of contact with a cat. Diagnosis of cat scratch disease was confirmed by serology (IgG of Bartonella henselae 1/256; IgM negative). Treatment with azithromycin 500 mg every 24 hs orally for 5 days was indicated, with resolution of the condition in 2 weeks.

Conclusion: Cat scratch disease should be suspected in cases of unilateral granulomatous conjunctivitis, especially in the context of lymphadenopathy, as seen in Parinaud’s syndrome. Treatment with oral antibiotics was adequate and effective.

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