Nodular lymphangitis: Difference between revisions

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* Bacteria
* Bacteria
** [[Norcardia]] species, including [[N. brasiliensis]], [[N. asteroides]], [[N. otidiscaviarum]], and [[N. transcalensis]]: soil or water exposure
** [[Norcardia]] species, including [[N. brasiliensis]], [[N. asteroides]], [[N. otidiscaviarum]], and [[N. transcalensis]]: soil or water exposure
** [[Mycobacterium tuberculosis]] (tuberculosis cutis verrucosa)
** [[Non-tuberculous mycobacteria]]
** [[Non-tuberculous mycobacteria]]
*** ''[[Mycobacterium marinarum]]'': saltwater or marine exposure
*** ''[[Mycobacterium marinarum]]'': saltwater or marine exposure

Revision as of 14:09, 21 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 5 to 18 days 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

Further Reading

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