Nodular lymphangitis: Difference between revisions
From IDWiki
(→) |
No edit summary |
||
| Line 1: | Line 1: | ||
* Characterized by purulent nodules appearing along the course of reqional lymphatics |
|||
== Differential Diagnosis == |
== Differential Diagnosis == |
||
=== Most common === |
|||
{| class="wikitable" |
|||
! Organism |
|||
! Distribution |
|||
! Exposures |
|||
! Incubation |
|||
! Initial presentation |
|||
|- |
|||
| [[Sporothrix schenckii]] |
|||
| South and Central America and southern North America |
|||
| gardening (especially roses), other soil contact, animal scratches or bites |
|||
| 1 week to 3 months |
|||
| painless ulcerated nodule |
|||
|- |
|||
| [[Mycobacterium marinum]] |
|||
| worldwide |
|||
| fish and acquiraiums, including falt- and freshwater exposures |
|||
| 1 to 6 weeks |
|||
| mildly tender, ulcerated nodule |
|||
|- |
|||
| [[Nocardia brasiliensis]] |
|||
| worldwide |
|||
| soil, cat scratch |
|||
| 3 days to 6 weeks |
|||
| tender, ulcerated, draining nodules |
|||
|- |
|||
| [[Leishmania brasiliensis]] |
|||
| South and Central America |
|||
| sand flies |
|||
| 2 to 24 weeks |
|||
| painless, punched-out shallow ulcer |
|||
|- |
|||
| [[Francisella tularensis]] |
|||
| North America |
|||
| wild animal exposures (especially hunting) or ticks |
|||
| 1 to 6 days |
|||
| painful ulcerated draining papule |
|||
|- |
|||
| [[Bacillus anthracis]] |
|||
| worldwide |
|||
| animal, animal product, or contaminated soil exposures |
|||
| painless ulcer with vesicles and edema |
|||
|- |
|||
| [[Staphylococcus aureus]] |
|||
| worldwide |
|||
| |
|||
| 4 to 10 days |
|||
| abscesses, with or without drainage |
|||
|- |
|||
| [[Coccidioides species]] |
|||
| Southwest US and northern Mexico |
|||
| soil exposure or laboratory exposure |
|||
| 1 to 4 weeks |
|||
| verrucous plaques and ulcerated nodules |
|||
|- |
|||
| [[Blastomyces dermatitidis]] |
|||
| worldwide, particularly North America |
|||
| soil, animal bites or scratches, laboratory exposure |
|||
| 1 to 5 weeks |
|||
| verrucous plaques and ulcerated nodules |
|||
|- |
|||
| [[Histoplasma capsulatum]] |
|||
| worldwide |
|||
| soil, birds, laboratory exposure |
|||
| myriad |
|||
|- |
|||
| [[Scedosporium species]] |
|||
| worldwide |
|||
| soil, water, or seage |
|||
| |
|||
| nodules |
|||
|- |
|||
| [[Herpes simplex virus]] |
|||
| worldwide |
|||
| |
|||
| 2 to 12 days |
|||
| vesicles |
|||
|- |
|||
| [[Vaccinia virus]] |
|||
| |
|||
| cattle and cats |
|||
| |
|||
| |
|||
|} |
|||
=== Full list === |
|||
* Fungi |
|||
** [[Sporothrix schenckii]] |
|||
** [[Blastomyces dermatitidis]] |
|||
** [[Coccidioides immitis]] |
|||
** [[Histoplasma capsulatum]] |
|||
** [[Cryptococcus neoformans]] |
|||
** [[Scedosporium apiospermum]] |
|||
** [[Fusarium species]] |
|||
** [[Scopulariopsis blochii]] |
|||
* Bacteria |
|||
** [[Norcardia]] species, including [[N. brasiliensis]], [[N. asteroides]], [[N. otidiscaviarum]], and [[N. transcalensis]] |
|||
** ''[[Mycobacterium marinarum]]'' and other [[non-tuberculous mycobacteria]] |
|||
** ''[[Francisella tularensis]]'' (tularemia) |
|||
** [[Burkholderia pseudomallei]] (melioidosis) |
|||
** [[Staphylococcus aureus]] |
|||
** [[Streptococcus pyogenes]] |
|||
** [[Bacillus anthracis]] (cutaneous anthrax) |
|||
** [[Erysipelothrix rhusiopathiae]] |
|||
* Viruses |
|||
** [[Vaccinia virus]] |
|||
** [[Herpes simplex virus]] |
|||
* Parasites |
|||
** [[Leishmania species]] |
|||
* [[Sporotrochosis]] |
|||
* ''[[Norcardia]]'' |
|||
* ''[[Mycobacterium marinarum]]'' |
|||
* ''[[Leishmania]]'' |
|||
* ''[[Francisella tularensis]]'' |
|||
[[Category:Skin and soft tissue infections]] |
[[Category:Skin and soft tissue infections]] |
||
Revision as of 19:21, 20 November 2019
- Characterized by purulent nodules appearing along the course of reqional lymphatics
Differential Diagnosis
Most common
| Organism | Distribution | Exposures | Incubation | Initial presentation |
|---|---|---|---|---|
| Sporothrix schenckii | South and Central America and southern North America | gardening (especially roses), other soil contact, animal scratches or bites | 1 week to 3 months | painless ulcerated nodule |
| Mycobacterium marinum | worldwide | fish and acquiraiums, including falt- and freshwater exposures | 1 to 6 weeks | mildly tender, ulcerated nodule |
| Nocardia brasiliensis | worldwide | soil, cat scratch | 3 days to 6 weeks | tender, ulcerated, draining nodules |
| Leishmania brasiliensis | South and Central America | sand flies | 2 to 24 weeks | painless, punched-out shallow ulcer |
| Francisella tularensis | North America | wild animal exposures (especially hunting) or ticks | 1 to 6 days | painful ulcerated draining papule |
| Bacillus anthracis | worldwide | animal, animal product, or contaminated soil exposures | painless ulcer with vesicles and edema | |
| Staphylococcus aureus | worldwide | 4 to 10 days | abscesses, with or without drainage | |
| Coccidioides species | Southwest US and northern Mexico | soil exposure or laboratory exposure | 1 to 4 weeks | verrucous plaques and ulcerated nodules |
| Blastomyces dermatitidis | worldwide, particularly North America | soil, animal bites or scratches, laboratory exposure | 1 to 5 weeks | verrucous plaques and ulcerated nodules |
| Histoplasma capsulatum | worldwide | soil, birds, laboratory exposure | myriad | |
| Scedosporium species | worldwide | soil, water, or seage | nodules | |
| Herpes simplex virus | worldwide | 2 to 12 days | vesicles | |
| Vaccinia virus | cattle and cats |
Full list
- Fungi
- Bacteria
- Norcardia species, including N. brasiliensis, N. asteroides, N. otidiscaviarum, and N. transcalensis
- Mycobacterium marinarum and other non-tuberculous mycobacteria
- Francisella tularensis (tularemia)
- Burkholderia pseudomallei (melioidosis)
- Staphylococcus aureus
- Streptococcus pyogenes
- Bacillus anthracis (cutaneous anthrax)
- Erysipelothrix rhusiopathiae
- Viruses
- Parasites
