Lymphangitis
Inflamed lymph vessels; Inflammation - lymph vessels; Infected lymph vessels; Infection - lymph vesselsLymphangitis is an infection of the lymph vessels (channels). It is a complication of some bacterial infections.
Causes
The lymph system is a network of lymph nodes, lymph ducts, lymph vessels, and organs that produce and move a fluid called lymph from tissues to the bloodstream.
Lymph system
The lymph system is a network of organs, lymph nodes, lymph ducts, and lymph vessels that make and move lymph from tissues to the bloodstream. The l...
Lymphangitis most often results from an acute streptococcal infection of the skin. Less often, it is caused by a staphylococcal infection. The infection causes the lymph vessels to become inflamed.
Acute
Acute means sudden. Acute symptoms appear, change, or worsen rapidly. It is the opposite of chronic.
Lymphangitis may be a sign that a skin or soft tissue infection is getting worse. The bacteria can spread further into the blood and cause life-threatening problems.
Symptoms
Symptoms may include:
- Fever and chills
- Enlarged and tender lymph nodes (glands) -- usually in the elbow, armpit, or groin
- General ill feeling (malaise)
- Headache
- Loss of appetite
- Muscle aches
- Red streaks from the infected area to the armpit or groin (may be faint or obvious)
- Throbbing pain along the affected area
Exams and Tests
Your health care provider will perform a physical exam, which includes feeling your lymph nodes and examining your skin. The provider may look for signs of injury around swollen lymph nodes.
A biopsy and culture of the affected area may reveal the cause of the inflammation. A blood culture may be done to see if the infection has spread to the blood.
Biopsy
A lymph node biopsy is the removal of lymph node tissue for examination under a microscope. The lymph nodes are small glands that make white blood ce...
Culture
A skin or nail culture is a laboratory test to look for and identify germs that cause problems with the skin or nails. It is called a mucosal culture...
Blood culture
A blood culture is a laboratory test to check for bacteria or other germs in a blood sample.
Treatment
Lymphangitis may spread within hours. Treatment should begin right away.
Treatment may include:
- Antibiotics by mouth or IV (through a vein) to treat any infection
- Pain medicine to control pain
- Anti-inflammatory medicines to reduce inflammation and swelling
- Cool compresses to reduce inflammation and pain
Surgery may be needed to drain an abscess.
Abscess
An abscess is a collection of pus in any part of the body. In most cases, the area around an abscess is swollen and inflamed.
Outlook (Prognosis)
Prompt treatment with antibiotics usually leads to a complete recovery. It may take weeks, or even months, for swelling to disappear. The amount of time it takes to recover depends on the cause.
Possible Complications
Health problems that may occur include:
- Abscess (collection of pus)
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Cellulitis (a skin infection)
Cellulitis
Cellulitis is a common skin infection caused by bacteria. It affects the middle layer of the skin (dermis) and the tissues below. Sometimes, muscle...
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Sepsis (a general or bloodstream infection)
Sepsis
Sepsis is an illness in which the body has a severe, inflammatory response to bacteria or other germs.
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When to Contact a Medical Professional
Contact your provider or go to the emergency room if you have symptoms of lymphangitis.
References
Pasternack MS, Swartz MN. Lymphadenitis and lymphangitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 95.
Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL, Hirschmann JV, Kaplan SL, Montoya JG, Wade JC; Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jul 15;59(2):e10-52. Erratum in: Clin Infect Dis. 2015 May 1;60(9):1448. Dosage error in article text. PMID: 24973422. pubmed.ncbi.nlm.nih.gov/24973422/.
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Staphylococcal lymphangitis - illustration
Inflammation of the lymph system is a common complication following a bacterial infection. This picture shows inflammation of the lymph system around the joint of the little finger. The organism responsible for this lymphangitis is of the staphylococcal family; therefore it is called staphylococcal lymphangitis.
Staphylococcal lymphangitis
illustration
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Staphylococcal lymphangitis - illustration
Inflammation of the lymph system is a common complication following a bacterial infection. This picture shows inflammation of the lymph system around the joint of the little finger. The organism responsible for this lymphangitis is of the staphylococcal family; therefore it is called staphylococcal lymphangitis.
Staphylococcal lymphangitis
illustration
Review Date: 5/19/2023
Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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