Antimicrobial therapy for Parinaud's oculoglandular syndrome.
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The isoprenoid quinone contents of seven strains of "Afipia felis," the type strains of "A. clevelandensis" and "A. broomeae," and reference strains of three unnamed "Afipia" genospecies were determined by reverse-phase high-performance liquid chromatography. The quinone profiles of all "Afipia" strains were essentially identical, with ubiquinone 10 as the major component. The identity of ubiquinone 10 was confirmed by mass spectrometry.
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A causative agent ("D" strain) was isolated from the contents of an affected lymph node of a patient with beningn lymphoreticulosis. According to the biological and antigenic properties this agent is identified with Chlamydia but is a distinct species. The chlamydial etiology of benign lymphoreticulosis is determined also by the complement-fixation test with sera from convalescents.
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A case of cat scratch disease, presenting as a parotid tumor, is described. In its oculo-glandular form, this disease may be associated with swelling of the intraparotid lymph nodes, and the possibility should be considered in the differential diagnosis of parotid tumors in children. A careful history, and skin testing with cat scratch antigen, may aid in the diagnosis of this condition.
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