Nodular lymphangitis: Difference between revisions

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**[[Mycobacterium tuberculosis]] (tuberculosis cutis verrucosa)
**[[Mycobacterium tuberculosis]] (tuberculosis cutis verrucosa)
**[[Non-tuberculous mycobacteria]]
**[[Non-tuberculous mycobacteria]]
***''[[Mycobacterium marinarum]]'': saltwater or marine exposure
***''[[Mycobacterium marinum]]'': saltwater or marine exposure
***''[[Mycobacterium chelonei]]''
***''[[Mycobacterium chelonei]]''
***''[[Mycobacterium fortuitum]]''
***''[[Mycobacterium fortuitum]]''

Revision as of 17:54, 19 August 2020

  • Characterized by purulent nodules appearing along the course of regional lymphatics

Differential Diagnosis

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 aquariums, including salt- 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 immitis 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 5 to 18 days myriad
Scedosporium species worldwide soil, water, or sewage nodules
Herpes simplex virus worldwide 2 to 12 days vesicles
Vaccinia virus cattle and cats

Exhaustive List

Further Reading

  • Nodular Lymphangitis (Sporotrichoid Lymphocutaneous Infections). Clues to Differential Diagnosis. J Fungi. 2018;4(56). doi: 10.3390/jof4020056