Nodular lymphangitis: Difference between revisions
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=== Full list === |
=== Full list === |
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* Fungi |
* '''Fungi''' |
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** [[Sporothrix schenckii]]: gardening or dirt exposure |
** [[Sporothrix schenckii]]: gardening or dirt exposure |
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** [[Blastomyces dermatitidis]] |
** [[Blastomyces dermatitidis]] |
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** [[Eumycotic mycetoma]] |
** [[Eumycotic mycetoma]] |
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** [[Rhinocladiella aquaspersa]] ([[chromoblastomycosis]]) |
** [[Rhinocladiella aquaspersa]] ([[chromoblastomycosis]]) |
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* Bacteria |
* '''Bacteria''' |
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** [[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 |
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** [[Mycobacterium tuberculosis]] (tuberculosis cutis verrucosa) |
** [[Mycobacterium tuberculosis]] (tuberculosis cutis verrucosa) |
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** [[Bacillus anthracis]] (cutaneous anthrax) |
** [[Bacillus anthracis]] (cutaneous anthrax) |
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** [[Erysipelothrix rhusiopathiae]] |
** [[Erysipelothrix rhusiopathiae]] |
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* Viruses |
* '''Viruses''' |
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** [[Vaccinia virus]] |
** [[Vaccinia virus]] |
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** [[Herpes simplex virus]] |
** [[Herpes simplex virus]] |
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* Parasites |
* '''Parasites''' |
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** [[Leishmania species]] |
** [[Leishmania species]] |
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* '''Non-infectious causes''' |
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** Squamous cell carcinoma |
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** Basal cell carcinoma |
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** Mycosis fungoides |
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** Psoriasis |
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** Lupus vulgaris |
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** Pyoderma gangrenosum |
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== Further Reading == |
== Further Reading == |
Revision as of 14:21, 21 November 2019
- Characterized by purulent nodules appearing along the course of reqional lymphatics
Differential Diagnosis
Most common
Organism | Distribution | Exposures | Incubation | Initial presentation |
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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
- Fungi
- Bacteria
- Norcardia species, including N. brasiliensis, N. asteroides, N. otidiscaviarum, and N. transcalensis: soil or water exposure
- Mycobacterium tuberculosis (tuberculosis cutis verrucosa)
- Non-tuberculous mycobacteria
- Mycobacterium marinarum: saltwater or marine exposure
- Mycobacterium chelonei
- Mycobacterium fortuitum
- Rarely Mycobacterium kansasii
- Francisella tularensis (ulceroglandular tularemia): excrutiatingly painful; hunting; deer flies and ticks
- Burkholderia pseudomallei (melioidosis)
- Staphylococcus aureus
- Streptococcus pyogenes
- Bacillus anthracis (cutaneous anthrax)
- Erysipelothrix rhusiopathiae
- Viruses
- Parasites
- Non-infectious causes
- Squamous cell carcinoma
- Basal cell carcinoma
- Mycosis fungoides
- Psoriasis
- Lupus vulgaris
- Pyoderma gangrenosum
Further Reading
- Nodular Lymphangitis (Sporotrichoid Lymphocutaneous Infections). Clues to Differential Diagnosis. J Fungi. 2018;4(56). doi: 10.3390/jof4020056