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Double zoonosis: Parinaud oculoglandular syndrome from sporotrichosis and follicular conjunctivitis from Moraxella osloensis, a zoonotic co-infection from our feline friend

Aug 2026 · Medical Mycology Case Reports · Vol 53 · 0 citations · 10 references
Medicine

TL;DR

Although Bartonella henselae is the commonest cause of POGS, Sporothrix schenckii warrants consideration in cat-exposed patients, alongside bacterial co-infection.

Abstract

A 41-year-old woman developed chronic unilateral granulomatous conjunctivitis, ipsilateral lymphadenopathy, fever and malaise, diagnostic of Parinaud oculoglandular syndrome, after contact with a sick pet cat. Tear cultures identified Sporothrix schenckii, confirmed by 18S ribosomal RNA PCR, with co-infection by Moraxella osloensis. Biopsy showed suppurative necrotising granulomatous inflammation. Oral itraconazole, topical amphotericin B and amikacin achieved remission. Although Bartonella henselae is the commonest cause of POGS, Sporothrix schenckii warrants consideration in cat-exposed patients, alongside bacterial co-infection.

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