Lymphangitis Clinical Presentation
- Author: Raymond D Pitetti, MD, MPH; Chief Editor: Russell W Steele, MD more...
A history of minor trauma to an area of skin distal to the site of infection is often elicited in patients with lymphangitis.[3, 4]
Children with lymphangitis often have fever, chills, and malaise, and some children may report a headache, loss of appetite, and muscle aches.
Patients often have a history of a recent cut or abrasion or of an area of skin that appears infected and spreading.
Upon clinical examination, erythematous and irregular linear streaks extend from the primary infection site toward draining regional nodes. These streaks may be tender and warm. Other characteristics can include the following:
- The primary site may be an abscess, an infected wound, or an area of cellulitis
- Blistering of the affected skin may occur
- Lymph nodes associated with the infected lymphatic channels are often swollen and tender
- Patients may be febrile and tachycardic
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