Lymphangitis: Difference between revisions
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*Usually due to inoculation of skin flora through wound or cellulitis | *Usually due to inoculation of skin flora through wound or cellulitis | ||
*Non-infectious lymphangitis much less common, typically due to malignancy | *Non-infectious lymphangitis much less common, typically due to malignancy | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 17:19, 22 September 2016
Background
- Inflammation of deep dermal/subdermal lymphatic channels
- Usually due to inoculation of skin flora through wound or cellulitis
- Non-infectious lymphangitis much less common, typically due to malignancy
Clinical Features
- Pain
- Fever
- Streaking erythema
- Tenderness to palpation
- +/- tender lymphadenopathy
Differential Diagnosis
- Skin and Soft Tissue Infection
- Cellulitis, especially if immunocompromised or severe infection
- Erysipelas
- Necrotizing soft tissue infections
- [[Necrotizing fasciitis
- Necrotizing myositis
- Necrotizing cellulitis
- Mycobacterium marinum
- Soft tissue infection look-alikes
Evaluation
Management
- Depends on underlying case, but usually IV antibiotics, fluids, analgesia