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Lymphangitis

Lymphangitis is an inflammation or an infection of the lymphatic channels that occurs as a result of infection at a site distal to the channel. The most common cause of lymphangitis in humans is Streptococcus pyogenes (Group A strep), although it can also be caused by the fungus Sporothrix schenckii. Lymphangitis is sometimes mistakenly called "blood poisoning". In reality, "blood poisoning" is synonymous with septicemia.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with lymphangitis, 52% report having neck swelling, 52% report having skin on arm or hand looks infected, and 52% report having skin on leg or foot looks infected. The symptoms that are highly suggestive of lymphangitis are skin on arm or hand looks infected, neck swelling, skin on leg or foot looks infected, skin on head or neck looks infected, foot or toe lump or mass, flu-like syndrome, and skin irritation, although you may still have lymphangitis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with lymphangitis often receive complete blood count, hematologic tests, intravenous fluid replacement, wound care management, blood culture, culture wound, incision and drainage and examination of foot .

Common Medications

The most commonly prescribed drugs for patients with lymphangitis include ceftriaxone, cephalexin, bactrim, clindamycin, augmentin, cefazolin, ceftazidime, acellular pertussis vaccine / diphtheria toxoid vaccine / tetanus toxoid vaccine, cefadroxil, povidone iodine topical (betadine), ortho cyclen, valacyclovir (valtrex) and epinephrine .

Ceftriaxone
$172
(7 days)
Cephalexin
$7
(7 days)
Bactrim
$8
(14 days)
Clindamycin
$15
(7 days)
Augmentin
$22
(7 days)
Cefazolin
$90
(7 days)
Ceftazidime
$199
(7 days)
Cefadroxil
$16
(7 days)
Povidone Iodine Topical (Betadine)

Ortho Cyclen
$26
(28 days)
Valacyclovir (Valtrex)
$202
(21 days)
Epinephrine
$76
(7 days)

Who is at risk?

Groups of people at highest risk for lymphangitis include sex == male, age 5-14 years, age 1-4 years and age < 1 years.

Age

< 1 years
1.5x
1-4 years
2.3x
5-14 years
1.6x
15-29 years
0.8x
30-44 years
0.8x
45-59 years
0.7x
60-74 years
1.0x
75+ years
1.0x

Sex

Male
1.8x
Female
0.4x

Race/Ethnicity

Black
0.5x
Hispanic
0.3x
White
1.3x
Other
0.9x
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