Lymphadenitis “As Rosary beads” - a diagnostic challenge

  • Vitorino Modesto dos Santos Armed Forces Hospital and Catholic University of Brasília http://orcid.org/0000-0002-7033-6074
  • Micheline Silva Abreu de Azevedo Hospital of West, Barreiras-BA, Brazil
  • Katia Rejane Marques Brito Hospital of West, Barreiras-BA, Brazil
  • Larissa Almondes da Luz Hospital of West, Barreiras-BA, Brazil
  • Kayursula Dantas Ribeiro Hospital of West, Barreiras-BA, Brazil
Palabras clave: diagnosis, nodular lymphangitis, sporotrichosis, trauma, ulcer.

Resumen

Introduction: nodular lymphangitis (NL) may be a manifestation of various infectious and non-infectious conditions, characterised by subcutaneous inflammatory nodules that extend from the site of the primary focus to the regional lymph nodes. NL usually constitutes a challenge in primary health care, and histopathological and microbiological evaluations are necessary to establish the definitive diagnosis. Methods: We report a classic case of NL that developed in the upper limb of a middle-aged man after trauma on the right thumb. The objective:  was to emphasise some aspects of the differential diagnosis in a patient with NL and to reduce the rate of misdiagnosis in the scenery of initial medical attention. Results: the clinical manifestations were non-specific, but the microbiological study revealed typical characteristics of sporotrichosis. The treatment with itraconazole (200 mg daily) for six months was successful. Conclusion: NL constitutes a challenging condition and the early diagnosis depends on a high index of suspicion. Case reports may reduce late diagnoses with unfavourable results.

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Biografía del autor/a

Vitorino Modesto dos Santos, Armed Forces Hospital and Catholic University of Brasília
Adjunct-professor, Internal Medicine Department
Micheline Silva Abreu de Azevedo, Hospital of West, Barreiras-BA, Brazil
Medical Doctor, Endocrinology Division
Katia Rejane Marques Brito, Hospital of West, Barreiras-BA, Brazil
Internal Medicine Division
Larissa Almondes da Luz, Hospital of West, Barreiras-BA, Brazil
Internal Medicine Division
Kayursula Dantas Ribeiro, Hospital of West, Barreiras-BA, Brazil
Dermatology Division

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Publicado
2019-09-27
Cómo citar
dos SantosV. M., de AzevedoM. S. A., BritoK. R. M., da LuzL. A., & RibeiroK. D. (2019). Lymphadenitis “As Rosary beads” - a diagnostic challenge. ARS MEDICA Revista De Ciencias Médicas, 44(3), 20-23. https://doi.org/10.11565/arsmed.v44i3.1564
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