Parinaud's Oculoglandular Syndrome in Cat Scratch Disease

Patient selection: infection with Bartonella henselae

Core clinical findings:

(1) conjunctivitis or skin lesions adjacent to the eye

(2) preauricalar lymphadenopathy

Other findings of cat scratch disease may include:

(1) facial nerve paresis

(2) cervical and submandibular lymphadenopathy

(3) neuroretinitis

The diagnosis is usually made based on:

(1) exclusion of other diagnoses

(2) serum serologies against Bartonella henselae

(3) history of cat exposure

(4) presence of bacteria on Warthin-Starry stain in aspirate