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Nodular Lymphangitis

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1. Nodular Lymphangitis (Sporotrichoid Lymphocutaneous Infections). Clues to Differential Diagnosis (PubMed)

Nodular Lymphangitis (Sporotrichoid Lymphocutaneous Infections). Clues to Differential Diagnosis Nodular lymphangitis, also known as sporotrichoid lymphocutaneous infections, is characterized by suppurative inflammatory nodules along the lymphatic vessels. This manifestation is classic of sporotrichosis, however, other infections such as nocardiosis, atypical mycobacteriosis, leishmaniasis, among others, can also express this clinical pattern. Sporotrichosis, which often occurs in gardeners (...) , remains the most recognized cause of nodular lymphangitis. The histopathological studies, as well as the culture are diagnostic standards of lesions that do not respond to empirical treatment. In this article, we will review the main causes of nodular lymphangitis or lymphocutaneous sporotrichoid infections.

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2018 Journal of Fungi

2. Nodular Lymphangitis Syndrome (PubMed)

Nodular Lymphangitis Syndrome 29140231 2018 11 13 1476-1645 97 5 2017 Nov The American journal of tropical medicine and hygiene Am. J. Trop. Med. Hyg. Nodular Lymphangitis Syndrome. 1282-1284 10.4269/ajtmh.17-0397 Faccini-Martínez Álvaro A ÁA Health Science Center, Universidade Federal do Espírito Santo, Vitória, ES, Brazil. Postgraduate Program in Infectious Diseases, Universidade Federal do Espírito Santo, Vitória, ES, Brazil. Zanotti Raphael L RL Health Science Center, Universidade Federal

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2017 The American journal of tropical medicine and hygiene

3. Nodular Lymphangitis

Nodular Lymphangitis Nodular Lymphangitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nodular Lymphangitis Nodular Lymphangitis (...) Aka: Nodular Lymphangitis , Sporotrichoid Lymphocutaneous Infection From Related Chapters II. Causes Common Causes : (fungus) Classic prototype of 'sporotrichoid' infection Gardening, splinters or s or scratches ( ) Gardening or splinter exposure Aquariums, fish handling or other water exposure brasiliensis ( ) Limited to sandfly endemic areas Other Causes asteroides Atypical Cryptococcus neoformans Pseudomonas pseudomallei ( ) III. Signs and Symptoms Exposure to soil or water borne organisms

2018 FP Notebook

4. Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings (PubMed)

Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings Mycobacterium marinum is an atypical mycobacterium that usually causes a solitary nodule on the hand ("fish tank granuloma") or less commonly, secondary erythematous channels and nodules spread along lymphatic drainage of the extremity, mimicking sporothricoid skin lesions of nodular lymphangitis. This report presents a case of this rare entity, a nodular lymphangitis caused by Mycobacterium marinum

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2014 Acta Radiologica Short Reports

5. Local extensive granulomatous inflammation of the neck region and lymphangitis caused by Lichtheimia corymbifera infection in a Japanese Black calf (PubMed)

Local extensive granulomatous inflammation of the neck region and lymphangitis caused by Lichtheimia corymbifera infection in a Japanese Black calf A 7-month-old female Japanese Black calf developed elongated, nodular mass measuring 30 × 16 cm extended from the retropharyngeal region to mid lateral neck region. Histological examination revealed granulomatous lymphangitis with non-septate fungal hyphae recognized throughout the lesions. Fungal culture, DNA sequencing and molecular phylogenetic (...) tree analysis confirmed the sequence of Lichtheimia corymbifera. The lymphogenous route was speculated to be the main route of fungal spread leading to the characteristic nodular appearance of this case.

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2018 Medical mycology case reports

6. First case report of Nocardia veterana causing nodular lymphangitis in an immunocompromised host. (PubMed)

First case report of Nocardia veterana causing nodular lymphangitis in an immunocompromised host. We report a unique case of ascending cutaneous lymphangitis in a 72-year-old immunocompromised man from which a newly described Nocardia species was isolated by 16S ribosomal gene sequencing. Treatment with trimethoprim-sulfamethoxazole resulted in successful resolution of symptoms. To the best of our knowledge, this is the first case report of N. veterana implicated in causing ascending cutaneous (...) lymphangitis. © 2013 The Authors Australasian Journal of Dermatology © 2013 The Australasian College of Dermatologists.

2013 Australasian Journal of Dermatology

7. Nodular Lymphangitis

Nodular Lymphangitis Nodular Lymphangitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nodular Lymphangitis Nodular Lymphangitis (...) Aka: Nodular Lymphangitis , Sporotrichoid Lymphocutaneous Infection From Related Chapters II. Causes Common Causes : (fungus) Classic prototype of 'sporotrichoid' infection Gardening, splinters or s or scratches ( ) Gardening or splinter exposure Aquariums, fish handling or other water exposure brasiliensis ( ) Limited to sandfly endemic areas Other Causes asteroides Atypical Cryptococcus neoformans Pseudomonas pseudomallei ( ) III. Signs and Symptoms Exposure to soil or water borne organisms

2015 FP Notebook

8. Lymphangitis (Diagnosis)

can grow rapidly in the lymphatic system (see the image below). (See Etiology and Prognosis.) Trypanosomal chancre on shoulder with lymphangitis toward axilla. Although no specific data regarding sex-related demographics are available for lymphangitis, two thirds of patients with (a complication of lymphangitis occurring in the absence of appropriate antimicrobial therapy) are reported to be male. (See Presentation and Workup.) Nodular lymphangitis is a distinct clinical entity, separate from (...) with cantharidin. [ ] Nodular lymphangitis Nodular lymphangitis commonly follows superficial inoculation with one of the following organisms: Sporothrix schenckii Nocardia brasiliensis Mycobacterium marinum Leishmania panamensis L guyanensis Francisella tularensis Previous Next: Prognosis The prognosis for patients with uncomplicated lymphangitis is good. Antimicrobial regimens are effective in more than 90% of cases. Without appropriate antimicrobial therapy, however, cellulitis may develop or extend along

2014 eMedicine Pediatrics

9. Lymphangitis (Overview)

can grow rapidly in the lymphatic system (see the image below). (See Etiology and Prognosis.) Trypanosomal chancre on shoulder with lymphangitis toward axilla. Although no specific data regarding sex-related demographics are available for lymphangitis, two thirds of patients with (a complication of lymphangitis occurring in the absence of appropriate antimicrobial therapy) are reported to be male. (See Presentation and Workup.) Nodular lymphangitis is a distinct clinical entity, separate from (...) with cantharidin. [ ] Nodular lymphangitis Nodular lymphangitis commonly follows superficial inoculation with one of the following organisms: Sporothrix schenckii Nocardia brasiliensis Mycobacterium marinum Leishmania panamensis L guyanensis Francisella tularensis Previous Next: Prognosis The prognosis for patients with uncomplicated lymphangitis is good. Antimicrobial regimens are effective in more than 90% of cases. Without appropriate antimicrobial therapy, however, cellulitis may develop or extend along

2014 eMedicine Pediatrics

10. Lymphangitis (Treatment)

, and anti-inflammatory medications can help to reduce inflammation and swelling. Hot, moist compresses also help to reduce inflammation and pain. If possible, elevate and immobilize affected areas to reduce swelling, pain, and the spread of infection. An abscess may require surgical drainage. Prevention have been established. [ ] Nodular lymphangitis Treatment of nodular lymphangitis is determined by identifying the underlying cause. Sporotrichosis is most often identified in this disease (...) ):262-7. . Simma L, Barrett MJ. Ascending upper limb lymphangitis. BMJ Case Rep . 2017 Sep 28. 2017:2741. . Tomas X, Pedrosa M, Soriano A, Zboromyrska Y, Tudo G, Garcia S, et al. Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings. Acta Radiol Short Rep . 2014 Feb. 3 (2):2047981614523172. . Hirschmann JV. Antimicrobial therapy for skin infections. Cutis . 2007 Jun. 79(6 Suppl):26-36. . [Guideline] Calfee DP, Salgado CD, Classen D, Arias KM, Podgorny K

2014 eMedicine Pediatrics

11. Lymphangitis (Follow-up)

, and anti-inflammatory medications can help to reduce inflammation and swelling. Hot, moist compresses also help to reduce inflammation and pain. If possible, elevate and immobilize affected areas to reduce swelling, pain, and the spread of infection. An abscess may require surgical drainage. Prevention have been established. [ ] Nodular lymphangitis Treatment of nodular lymphangitis is determined by identifying the underlying cause. Sporotrichosis is most often identified in this disease (...) ):262-7. . Simma L, Barrett MJ. Ascending upper limb lymphangitis. BMJ Case Rep . 2017 Sep 28. 2017:2741. . Tomas X, Pedrosa M, Soriano A, Zboromyrska Y, Tudo G, Garcia S, et al. Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings. Acta Radiol Short Rep . 2014 Feb. 3 (2):2047981614523172. . Hirschmann JV. Antimicrobial therapy for skin infections. Cutis . 2007 Jun. 79(6 Suppl):26-36. . [Guideline] Calfee DP, Salgado CD, Classen D, Arias KM, Podgorny K

2014 eMedicine Pediatrics

12. Sporotrichosis

sporotrichosis may occur, especially in patients with diabetes, alcoholism, AIDS, and haematological malignancies, but also in normal hosts. Lymphocutaneous sporotrichosis is caused by traumatic inoculation of the fungus into the skin and results in an initial nodular lesion that usually ulcerates, which is followed by ascending nodular lymphangitis. The definitive test for diagnosis of lymphocutaneous sporotrichosis is culture of the fungus from skin lesions. Because of their non-specific presentation (...) tissues, following traumatic inoculation of the causative fungus Sporothrix to the dermis of individuals with outdoor vocations and occupations. More than 95% of sporotrichosis cases are caused by the Sporothrix schenckii complex, including S schenckii sensu strictu and several cryptic species, which are identified in the routine laboratory as S schenckii . History and exam presence of risk factors primary skin lesion nodular lymphangitis lesions respiratory symptoms joint swelling/erythema male 30

2018 BMJ Best Practice

14. Cutaneous Nocardiosis Simulating Cutaneous Lymphatic Sporotrichosis (PubMed)

Cutaneous Nocardiosis Simulating Cutaneous Lymphatic Sporotrichosis Sporotrichosis is the subcutaneous mycosis caused by several species of the Sporothrix genus. With worldwide occurrence, the State of Rio de Janeiro is presently undergoing a zoonotic sporotrichosis epidemic. The form of lymphocutaneous nocardiosis is rare, being caused especially by Nocardia brasiliensis. It appears as a nodular or ulcerated lesion, with multiple painful erythematous nodules or satellite pustules distributed (...) along the lymphatic tract, similar to the lymphocutaneous variant of sporotrichosis. We present a 61-year-old man who, after an insect bite in the left leg, developed an ulcerated lesion associated with ascending lymphangitis, nonresponsive to previous antibiotic therapies. The patient was admitted for investigation, based on the main diagnostic hypothesis of lymphatic cutaneous sporotrichosis entailed by the highly suggestive morphology, associated with the epidemiologic information that he

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2017 Case reports in dermatology

15. Mycobacterium marinum

marinum Aka: Mycobacterium marinum From Related Chapters II. Pathophysiology: Causes Nodular Lymphangitis Mycobacterium marinum most common etiology Other atypical can also cause III. Exposure risks: Fresh and Saltwater Exposure Fish Handlers Tropical aquarium keepers (fish tanks) Swimming in ocean water, lakes, and pools IV. Signs Primary lesion after 2-8 week incubation Papular lesion develops at inoculation site Secondary lesions Erythematous s, s develop up lymph chain Lesions ulcerate or form

2018 FP Notebook

16. Nocardiosis (Overview)

and often misdiagnosed as sporotrichosis (more common) because it also manifests as a primary lesion at the site of injury, followed by a proximal spread of lymphangitis and nodular lesions along the lymphatics. The lymphocutaneous or sporotrichoid form is the least common form of primary cutaneous nocardiosis. However, it probably is more common than reported, and diagnosis requires a high index of suspicion. Of 14 patients reported from 1920-1986, more than half had a history of gardening or thorn (...) in a child with acute lymphoblastic leukemia]. Arch Pediatr . 2008 Mar. 15(3):275-8. . Satterwhite TK, Wallace RJ Jr. Primary cutaneous nocardiosis. JAMA . 1979 Jul 27. 242(4):333-6. . Kostman JR, DiNubile MJ. Nodular lymphangitis: a distinctive but often unrecognized syndrome. Ann Intern Med . 1993 Jun 1. 118(11):883-8. . Garg P, Sharma S, Vemuganti GK, Ramamurthy B. A cluster of Nocardia keratitis after LASIK. J Refract Surg . 2007 Mar. 23(3):309-12. . Clark NM, Braun DK, Pasternak A, Chenoweth CE

2014 eMedicine.com

18. Mycobacterium Marinum (Diagnosis)

MJ. Nodular lymphangitis: a distinctive but often unrecognized syndrome. Ann Intern Med . 1993 Jun 1. 118(11):883-8. . Lewis FM, Marsh BJ, von Reyn CF. Fish tank exposure and cutaneous infections due to Mycobacterium marinum: tuberculin skin testing, treatment, and prevention. Clin Infect Dis . 2003 Aug 1. 37(3):390-7. . Nguyen C. Images in clinical medicine. Mycobacterium marinum. N Engl J Med . 2004 Feb 26. 350(9):e8. . Petrini B. Mycobacterium marinum: ubiquitous agent of waterborne

2014 eMedicine.com

19. Dermatologic Diseases of the Male Genitalia: Nonmalignant (Diagnosis)

web spaces. Excoriations are generally more apparent than the primary lesions. Lesions in the male genital region often appear more nodular. Diagnosis is based on demonstration of the mite, eggs, or mite feces in a scabies skin preparation, which should be obtained from several lesions because of the paucity of mites in most infestations. Scabies (Image courtesy of Hon Pak, MD) Although not always necessary, biopsies reveal the female mite in the superficial epidermis, with eggs in the burrow (...) staining positive with periodic acid-Schiff (PAS) stain. Epidermal spongiosis and an associated mixed dermal inflammatory infiltrate that contains eosinophils is usually present. Differential diagnoses The differential diagnoses include non-specific eczematous dermatitis, contact dermatitis, and nonscabietic arthropod bites. Nodular and treated forms (scabies incognito) may make the diagnosis more difficult. The use of topical corticosteroids may also mask a more typical presentation. Treatment

2014 eMedicine.com

20. Filariasis (Diagnosis)

, with microscopic hematuria or proteinuria found in infected persons who are asymptomatic. Acute presentations of infection include acute adenolymphangitis (ADL) and acute filarial lymphangitis (AFL). ADL presents as a plaquelike area of relatively diffuse cutaneous inflammation along with episodes of fever and inflamed lymph nodes in the groin and axillae. It has been compared with erysipelas and lymphangitis in its clinical presentation. These episodes often last 3-15 days each, may recur several times each (...) spontaneously or as the result of medication. Patients present with small, tender nodules at the site of the dying worms. Patients also give a history of pain, erythema, and tenderness in the affected lymph node region for hours or a day prior to the onset of lymphangitis. Typically, AFL is not as severe or harmful as ADL. [ , ] Chronically compromised lymphatic function leads to lymphedema that is initially reversible. Continued inflammation in the compromised lymphatic system by persistent parasites

2014 eMedicine.com

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