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REVIEW ARTICLE
Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 40

Parinaud's oculoglandular syndrome by sporotrichosis: Red flag


1 Department of Ophthalmology, Federal University of Rio de Janeiro, Rio de Janeiro; Federal University of Goiás Reference Center of Ophthalmology – CEROF, Goiania, Brazil
2 Department of Ophthalmology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
3 Federal University of Goiás Reference Center of Ophthalmology – CEROF, Goiania, Brazil

Correspondence Address:
Romulo Piloni-Parreira
Primeira Avenida, 355-447 – setor Leste Universitario, Goiania – GO, 74605020
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/pajo.pajo_8_22

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Parinaud's Oculoglandular Syndrome (POGS) is a rare and atypical form of granulomatous conjunctivitis, classically composed of a triad: fever, unilateral granulomatous follicular conjunctivitis and preauricular satellite lymphadenopathy or ipsilateral submandibular, commonly related to cat scratch disease caused mainly by Bartonella henselae, or also caused, even if not tipically, by Sporothrix schenckii. In endemic areas, such as in South America, especially Brazil and Peru, ocular sporotrichosis, associated with POGS, should be considered a diagnostic hypothesis of ophthalmic diseases especially if this patient has a history of contact with cats . Itraconazole must be the first choice of medication for treatment and this patient would need assistance until complete clinical improvement, with family members oriented about possible sources of contamination, being important the early and appropriate treatment, due to the risk of eye sequelae . As a neglected public health problem in Brazil, where there has been a large increase in cases in the last decades, an accurate understanding of this disease is essential, with focus in the southeast region, mostly in the state of Rio de Janeiro.


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