obsolete Staphylococcus aureus lymphangitis

ICD-10 Codes

Related ICD-10:

Description

Definition and Context

Staphylococcus aureus lymphangitis, also known as suppurative lymphangitis or pyogenic lymphangitis, is a rare and serious condition characterized by the spread of infection from the skin to the lymphatic vessels. This condition is often associated with Staphylococcus aureus bacteria.

Key Features

  • Cellulitis: A common problem caused by spreading bacterial inflammation of the skin, which can lead to lymphangitis in some cases [4].
  • Lymphangitis: An inflammatory process that affects the lymphatic vessels, leading to redness, pain, and swelling along the affected limb or area.
  • Regional adenopathy: Swelling of the lymph nodes in the affected region occurs in only 20% of cases [5].
  • Fever: A common symptom associated with this condition.

Causes and Associations

  • Staphylococcus aureus bacteria are a common cause of this condition, particularly when there is an open wound or skin infection present [8].
  • Other rare organisms associated with nodular lymphangitis include Streptococcus pyogenes, Pseudomonas pseudomallei, and coagulase-positive Staphylococci [11].

References

The term "Staphylococcus aureus lymphangitis" is considered obsolete in modern medical terminology. However, the condition itself remains a serious concern for patients with compromised immune systems or open wounds.

Note: The citations provided are based on the context information and may not be directly related to the specific search results.

Additional Characteristics

  • cellulitis
  • fever
  • lymphangitis
  • Staphylococcus aureus lymphangitis
  • suppurative lymphangitis
  • pyogenic lymphangitis
  • regional adenopathy

Signs and Symptoms

Painful and Rapidly Spreading Erythematous Streaks

The clinical manifestations of acute bacterial lymphangitis, caused by Staphylococcus aureus, are characterized by painful and rapidly spreading erythematous streaks on the skin or nodular swellings along the affected lymphatic vessels [1]. These symptoms can occur in various parts of the body, including the arms, legs, and other areas.

Other Possible Symptoms

In addition to the primary symptom of painful and rapidly spreading erythematous streaks, some individuals may experience:

  • Fever
  • Tachycardia (rapid heart rate)
  • Confusion
  • Hypotension (low blood pressure)
  • Leukocytosis (elevated white blood cell count)

These systemic manifestations can occur hours before the appearance of the characteristic skin lesions [3].

Comparison with Modern Staphylococcus aureus Infections

It's worth noting that modern Staphylococcus aureus infections, including those caused by MRSA (Methicillin-Resistant Staphylococcus aureus), may present differently and can be more severe. However, the classic symptoms of lymphangitis, such as painful and rapidly spreading erythematous streaks, are still relevant in some cases.

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Additional Symptoms

  • tachycardia (rapid heart rate)
  • painful and rapidly spreading erythematous streaks
  • hypotension (low blood pressure)
  • leukocytosis (elevated white blood cell count)
  • fever
  • confusion

Diagnostic Tests

Diagnostic Tests for Obsolete Staphylococcus aureus Lymphangitis

Lymphangitis caused by Staphylococcus aureus is a rare and serious condition that requires prompt diagnosis and treatment. The following diagnostic tests can be used to confirm the presence of this infection:

  • Blood cultures: Blood tests may show a high white blood count, known as leukocytosis [5]. This can indicate the presence of an infection in the bloodstream.
  • Swab, aspirate, and/or biopsy of primary site: A swab or biopsy of the affected area can be used to collect tissue samples for histology and culture. This can help identify the causative organism and confirm the diagnosis [6].
  • Ultrasound examination: An ultrasound examination using a 7.5-MHz probe can reveal numerous dilated vessels (lymphatic vessels) in the affected area, which is consistent with lymphangitis [7].

It's worth noting that the diagnosis of Staphylococcus aureus lymphangitis is often based on clinical signs and symptoms, such as swelling, redness, and warmth at the site of infection. A complete blood cell (CBC) count and blood culture should also be obtained to rule out other potential causes of inflammation [1].

In addition, a biopsy and culture of the affected area may reveal the cause of the inflammation, which can help guide treatment decisions [2]. A leading-edge culture or aspiration of pus should also be considered to confirm the presence of an infection [3].

References:

[1] Context result 1 [2] Context result 2 [3] Context result 1 [5] Context result 5 [6] Context result 6 [7] Context result 7

Additional Diagnostic Tests

  • Blood cultures
  • or biopsy of primary site
  • Ultrasound examination

Treatment

Based on the available information, it appears that the treatment for Staphylococcus aureus lymphangitis has evolved over time.

Current Treatment Options

According to search result [4], most cases of Staphylococcus aureus infections will require antibiotics as treatment. Intravenous (IV) antibiotics can deliver the medication faster, but a doctor may prescribe oral antibiotics instead.

Some specific antibiotic regimens mentioned in the context include:

  • Ampicillin/sulbactam 1.5-3.0gm IV q6h for acute lymphangitis [5]
  • Amoxicillin/clavulanate 500mg PO three times a day or 875mg PO twice daily for acute lymphangitis [5]

Older Treatment Options

While the context does not provide specific information on obsolete treatment options, it is worth noting that penicillin was once considered the preferred initial treatment for Staphylococcus aureus infections, including lymphangitis [8]. However, with the rise of antibiotic resistance, newer antibiotics have become essential in treating these infections.

Newer Antibiotics

The context also mentions newer antibiotics such as linezolid, tigecycline, daptomycin, and vancomycin, which have shown efficacy and safety in treating methicillin-resistant Staphylococcus aureus (MRSA)-caused skin and soft tissue infections [6].

Other Considerations

It is essential to note that treatment should be tailored to the individual patient's needs and medical history. Additionally, pain management and anti-inflammatory medications may also be necessary as part of the overall treatment plan [2][3].

In summary, while specific obsolete treatment options are not mentioned in the context, it appears that current treatment for Staphylococcus aureus lymphangitis involves a combination of antibiotics, with newer antibiotics playing an increasingly important role.

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Differential Diagnosis of Obsolete Staphylococcus aureus Lymphangitis

Lymphangitis, a condition characterized by inflammation of the lymphatic vessels, can be caused by various factors. In the past, Staphylococcus aureus was a common cause of this condition. However, with advancements in medicine and changes in bacterial prevalence, other causes have become more prominent.

Current Differential Diagnosis

The following conditions are now considered in the differential diagnosis for

Additional Differential Diagnoses

Additional Information

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