TB manifesting as Parinaud’s oculoglandular syndrome
Parinaud’s oculoglandular syndrome (POGS) is a unilateral granulomatous conjunctivitis associated with chronic low-grade fever and ipsilateral regional lymphadenopathy. This is a rare ocular syndrome. Several infectious agents and autoimmune diseases have been attributed to the aetiology of POGS.

Cat-scratch disease caused by Bartonella henselae is the most common aetiology. Occasional aetiological agents of POGS include Mycobacterium tuberculosis and Treponema pallidum. Rare agents include Actinomyces israelii and Blastomyces dermatitidis. These are just a few examples of the many causative agents.

The present report published in the journal AVEH, describes a case of a 5-year-old boy who presented with a painful discharging right eye (RE) for 1 year. Two months prior to presentation, he developed a non-productive cough, night sweats and loss of weight.

On examination, granulomatous follicular conjunctivitis and a corneal phlyctenule were noted in the RE, as well as ipsilateral preauricular lymphadenopathy. In collaboration with the paediatricians, a diagnosis of Parinaud’s oculoglandular syndrome (POGS) as a manifestation of tuberculosis was made.

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