Protocolo diagnóstico de la linfangitis

  1. Rubio Taboada, C. 1
  2. Velasco Hernández, P. 1
  3. Peña Cortés, R. 1
  4. Lozano Sánchez, F.S. 1
  1. 1 Servicio de Angiología y Cirugía Vascular, Hospital Universitario de Salamanca, Salamanca, España Departamento de Cirugía, Universidad de Salamanca, Salamanca, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2021

Título do exemplar: Enfermedades cardiovasculares (V)

Serie: 13

Número: 39

Páxinas: 2275-2279

Tipo: Artigo

DOI: 10.1016/J.MED.2021.08.004 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumo

Lymphangitis is an inflammatory process of the lymphatic system of infectious or non-infectious cause. Cutaneous inoculation of microorganisms into the lymphatic vessels through a cutaneous defect or as a complication of a distal infection is the most common cause. The causative pathogens include bacteria, viruses, fungi, and parasites. The clinical manifestations vary (acute, nodular, filarial, non-peripheral, non-infectious, and other underlying and iatrogenic diseases). Clinical diagnosis is based on clinical history and physical examination. Etiological diagnosis is based on epidemiology, clinical features and analytical (ESR, CRP) and microbiological tests (smears, aspirate, or biopsies for bacterial, fungal, and mycobacterial cultures, even with prolonged incubation; serology, blood smears and molecular methods for specific infrequent organisms). Imaging techniques (lymphangiography and lymphoscintigraphy) allow the assessment of anatomical disturbances of the lymphatic system, but they do not provide information on etiology.

Referencias bibliográficas

  • Suami H, Taylor GI, Pan WR. The lymphatic territories of the upper limb: anatomical study and clinical implications. Plast Reconstr Surg. 2007;119(6):1813-22.
  • Galindo García A, Moñux Ducajú G, Martín Conejero A, Serrano Hernando FJ. Protocolo diagnóstico y tratamiento de la enfermedad linfática aguda. Medicine. 2017;12(41):2458-61.
  • Simon MS, Cody RL. Cellulitis after axillary lymph node dissection for carcinoma of the breast. Am J Med. 1992;93(5):543-8.
  • Dimcic T, Gregoric M, Breznik V. Rapidly progressive infection of hand after a cat bite. Cureus. 2020;12(7):e9357.
  • Wenner KA, Kenner JR. Anthrax. Dermatol Clin. 2004;22(3):247-56.
  • Espósito ACC, Jorge MFS, Marques MEA, Abbade LPF. Milker’s nodules: classic histological findings. An Bras Dermatol. 2017;92(6):838-40.
  • Kostman JR, DiNubile MJ. Nodular lymphangitis: a distinctive but often unrecognized syndrome. Ann Intern Med. 1993;118(11):883-8.
  • Taylor MJ, Cross HF, Ford L, Makunde WH, Prasad GB, Bilo K. Wolbachia bacteria in filarial immunity and disease. Parasite Immunol. 2001;23(7):401-9.
  • Wu JW, Chiles C. Lymphangitic carcinomatosis from prostate carcino-ma. J Comput Assist Tomogr. 1999;23(5):761-3.
  • Kheirandish F, Sharafi AC, Kazemi B, Bandehpour M, Tarahi Mj, Khamesipour A. First molecular identification of Leishmania species in a new endemic area of cutaneous leishmaniasis in Lorestan, Iran. Asian Pac J Trop Med. 2013;6(9):713-7
Fonte de datos: Dialnet