Parinaud's oculoglandular syndrome attributable to an encounter with a wild rabbit.
OBJECTIVE
To describe the clinical and histopathologic findings in a patient with Parinaud's oculoglandular syndrome attributable to Francisella tularensis obtained from an encounter with a wild baby rabbit.


METHODS
In an 18-year-old man, the clinical course, laboratory findings, and histopathologic findings are described.


RESULTS
Parinaud's oculoglandular syndrome should be considered in the differential diagnosis of a patient presenting with unilateral granulomatous conjunctivitis, painful preauricular, and submandibular lymphadenopathy combined with systemic symptoms of general malaise and fever.


CONCLUSIONS
Tularemia is one etiology of Parinaud's oculoglandular syndrome. It is caused by Francisella tularensis and is usually transmitted to humans via infected animal blood or through an insect bite, most often a tick. For treatment, intramuscular streptomycin is the drug of choice.
Department of Ophthalmology, The University of Iowa, Iowa City, IA 52242, USA.
S
S
Thompson
L
L
Omphroy
T
T
Oetting
D000293:Adolescent; D000818:Animals; D000835:Animals, Wild / Q000382:microbiology*; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005604:Francisella tularensis / Q000302:isolation & purification*; D006801:Humans; D007273:Injections, Intramuscular; D007275:Injections, Intravenous; D008297:Male; D009254:Nafcillin / Q000008:administration & dosage; D011817:Rabbits / Q000382:microbiology*; D013307:Streptomycin / Q000008:administration & dosage; D014406:Tularemia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015047:Zoonoses / Q000382:microbiology*
D009254:Nafcillin; D013307:Streptomycin