title: Parinaud's oculoglandular syndrome revealing subclinical Rickettsia conorii infection.
abstract: The purpose of this study was to report a case of Parinaud's oculoglandular syndrome associated with subclinical Rickettsia conorii infection. We report a case of a 66-year-old male patient presented with unilateral persistent granulomatous conjunctivitis in the left eye and an ipsilateral preauricular lymphadenopathy without associated systemic features. Laboratory evaluation showed a positive indirect immunofluorescence antibody test for R. conorii. The patient received a 2-week course of oral doxycycline, with subsequent complete resolution of all his symptoms. Rickettsial disease should be considered in the differential diagnosis of oculoglandular syndrome with or without associated systemic symptoms in any patient living in or returning from a specific endemic area.
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, 5019, Monastir, Tunisia.
authors.forename: Nesrine
authors.initials: N
authors.lastname: Abroug
authors.forename: Imen
authors.initials: I
authors.lastname: Khairallah-Ksiaa
authors.forename: Rim
authors.initials: R
authors.lastname: Kahloun
authors.forename: Sana
authors.initials: S
authors.lastname: Khochtali
authors.forename: Sonia
authors.initials: S
authors.lastname: Zaouali
authors.forename: Moncef
authors.initials: M
authors.lastname: Khairallah
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001907:Boutonneuse Fever / Q000150:complications*; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D020114:Rickettsia conorii / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents