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Nodular LymphangitisAka: Sporotrichoid Lymphocutaneous Infection

See Also
1. Cellulitis
Causes
1. Common Causes
  1. Sporotrichosis: Sporothrix schenckii (fungus)
    1. Classic prototype of 'sporotrichoid' infection
    2. Gardening, splinters or Animal Bites or scratches
  2. Nocardia brasiliensis (Nocardiosis)
    1. Gardening or splinter exposure
  3. Mycobacterium marinum
    1. Aquariums, fish handling or other water exposure
  4. Leishmania brasiliensis (Leishmaniasis)
    1. Limited to sandfly endemic areas
2. Other Causes
  1. Nocardia asteroides
  2. Atypical Mycobacteria
  3. Francisella tularensis
  4. Blastomyces dermatidis
  5. Coccidioides immitis
  6. Cryptococcus neoformans
  7. Histoplasma capsulatum
  8. Streptococcus Pyogenes
  9. Staphylococcus aureus
  10. Pseudomonas pseudomallei
  11. Bacillus anthracis (Anthrax)
  12. Cowpox Virus
Signs and Symptoms
1. Exposure to soil or water borne organisms
2. Granulomatous reaction up extremity lymph chain
  1. Nodular lesions
  2. Local tissue necrosis
  3. Abscess formation
3. No systemic symptoms
Differential Diagnosis
1. Cellulitis with ascending lymphangitis
References
1. Kostman (1993) Ann Intern Med 118:884
2. Tobin (2001) Am Fam Physician 63:326

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.