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At least 91 records · Page 5Linked to original sources

Epizootic lymphangitis in horses: a review of the literature.

Epizootic lymphangitis is a relatively common infectious disease of horses and other liquids in certain parts of the world. The infection rate varies according to the geographic area and the age of the animal. The disease is most commonly characterised by a cord-like appearance of the subcutaneous lymphatic and cutaneous pyogranulomas, the discharge from which contains spherical or pear-shaped bodies of the causal agent, Histoplasma farciminosum. Diagnosis can be made by the demonstration of typical organisms in stained smears, culture and tissue sections. Serological tests and a skin hypersensitivity test have been described. Amphotericin B is the drug of choice for the treatment of clinical cases. An attenuated vaccine and a killed formalized vaccine are available and can be used in endemic areas to control the disease.

Animals↗

[A case of diffusely infiltrating carcinoma of the sigmoid colon associated with lymphangitis carcinomatosa effectively treated with sequential MTX.5-FU and 5'-DFUR].

A 37-year-old man was diagnosed as having a diffusely infiltrating carcinoma of the sigmoid colon associated with lymphangitis carcinomatosa. Sequential methotrexate (MTX).5-fluorouracil (5-FU) therapy with oral administration of doxifluoridine (5'-DFUR) was started. After 9 cycles of the MTX.5-FU therapy (total dose: MTX = 900 mg/body, 5-FU = 7,500 mg/body), radiographic examinations showed a partial response in the primary and pulmonary lesion, and paraaortic lymph nodes. Histological evaluation of the resected specimen by Hartmann's operation showed a grade 2 effect in the primary lesion and metastatic lymph nodes. This chemotherapy was repeated postoperatively. The patient died of pulmonary disease, deteriorating rapidly 60 days postoperatively. Diffusely infiltrating carcinoma of the large-bowel is generally far advanced at the time of diagnosis. The results suggest that sequential MTX.5-FU therapy and oral administration of 5'-DFUR are worth performing in clinical trials for patients with diffusely infiltrating carcinoma of the large-bowel.

Adenocarcinoma↗

Nonvenereal sclerosing lymphangitis of the penis.

Sclerosing lymphangitis of the penis with a purplish, cord-like structure, singular or multiple around the coronal sulcus, appears 24 to 48 hours after sexual relations. There is edema of the glans penis and coronal area, which is doughy and plastic. The condition is self-limited.

Adult↗

[Non-venereal sclerosing lymphangitis of the penis].

Non-venereal sclerosing lymphangitis of the penis is a rare condition that affects the distal lymphatics of this organ. It has been reported to be frequently associated with trauma to this area and, although it has a minimum inflammatory component, its etiology is unknown. A serpinginous nodular lesion in the sulcus coronarius penis may be observed by the patient. Because it is generally self-limiting, treatment is initially conservative and surgical excision is performed only if symptomatic lesions persist. The present study reports an additional case. The literature is reviewed and the possible etiopathogenic mechanisms and therapeutic alternatives are discussed.

Adult↗

Acute lymphangitis treated by moxibustion with garlic in 118 cases.

TCM holds that acute lymphangitis is pathogenically caused by the accumulated internal fire and toxicity, and the external skin injury-induced infection, leading to toxicity going upward along the meridians. The treatment should be given to clear away heat and toxin. Blood letting by a three-edged needle may promote qi and blood circulation and remove the toxic heat. Garlic has the function of antagonizing Staphylococcus aureus, Bacillus dysenteriae and various kinds of bacteria. Since the volatile oil in moxa is antagonistic to bacteria, the burning moxa can also promote the local flow of qi and blood, and enhance the antagonistic effect of garlic on bacteria. Therefore, satisfactory curative results can be achieved by the therapy.

Adolescent↗

Bancroftian lymphangitis in northeastern Brazil: a histopathological study of 17 cases.

The histological features in 17 patients (3 males and 14 females) with bancroftian lymphangitis, apparently not associated with lymphadenitis, are described. Degenerative alteration in the worms and a severe inflammatory process were observed in the great majority of the cases. The patterns of tissue reaction varied, including exudative, infiltrative and granulomatous lesions. Eosinophils were present, usually in great numbers. Thirteen out of 14 female subjects showed involvement of the breast lymphatics, and in two of these cases microfilariae were found in addition to adult worms. The breast parenchyma was in general spared. In men, lymphatics of the epididymis were affected; in one case, the patient was submitted for surgical castration for prostatic cancer and intact filarial worms without tissue reaction were incidentally detected in peritesticular lymphatics.

Adolescent↗

[Widespread embolism in tricuspid and mitral endocarditis caused by chronic lymphangitis. Case report].

Infective endocarditis, a serious microbial infection of the cardiac endothelial surface, may involve any heart valve. However, right-sided endocarditis is uncommon in non-intravenous drug abusers without underlying heart disease, and the contextual involvement of the left-sided valve is exceptional. A 63-year-old man with no evidence of intravenous drug abuse or heart disease, presented with persistent fever, worsening of breath, and aphasia. His medical history was notable for mild arterial hypertension and serious lymphangitis with cutaneous erosions on the legs. Transesophageal echocardiography was performed for suspicious endocarditis and showed a pedunculated and highly mobile vegetation adhered to the atrial portion of the posterior leaflet of the mitral valve, protruding into the left ventricle through the valvar orifice. Another large vegetation was seen at the tricuspid valve surface and protruded into the right ventricle during diastole. Cerebral and thoraco-abdominal computed tomography scan revealed multiple embolism to the left kidney, spleen, lungs and central nervous system. Blood cultures identified Staphylococcus aureus. The only risk factor was large skin sepsis. Despite successful antibiotic therapy, the patient died for development of renal and respiratory failure.

Chronic Disease↗

Unusual mucoid impaction in a case of bronchogenic carcinoma. A case report on mucoid impaction caused by carcinomatous lymphangitis of the bronchial wall distant from the primary lesion.

An unusual mucoid impaction in a case of bronchogenic carcinoma is presented. While mucoid impaction occurred in the upper lobe of the bronchus, the primary site of the adenocarcinoma was found in the lower lobe at autopsy. Mucoid impaction was caused by marked carcinomatous lymphangitis of bronchial wall far distant from the primary lesion. The development of mucoid impaction in the case presented is the first report to the best of our knowledge.

Bronchi↗

Lymphangitis after tuberculin test.

After Mantoux testing with purified protein derivative (PPD) equivalent to 5 tuberculin units (TU), a 28 yr old man developed extensive erythema, induration and proximal lymphangitis. This is the only such case observed after Mantoux testing in approximately 500,000 subjects during 10 yrs in the Greek Army.

Adult↗

Erysipelas: facial lymphangitis.

Two cases of facial lymphangitis have been described, and the pathophysiology of erysipelas has been discussed. Now rarely observed by hospital residents, this potentially serious infection can create considerable diagnostic confusion in medical as well as dental services. Rapid response of erysipelas to penicillin therapy is the modern expectation.

Child, Preschool↗

[Is there a thrombophlebitis or subcutaneous lymphangitis of the penis?].

Twelve patients suffering from subcutaneous dorsal induration of the penis were investigated. The diagnosis of a lymphangitis or thrombophlebitis depends on clinical features. It is of nonvenereal origin, and the treatment, if necessary, consists in local or systemic antiinflammatory or antibiotic therapy.

Adult↗

[Lymphangitis carcinomatosa].

The authors present a 86 years old male patient with gradually developing upper right arm swelling. There were several hyperaemic papules, vesicles and teleangiectases on his arm. The histology revealed a lymphangitis carcinomatosa. There were no signs of any tumor, but multiple isotope accumulations in the bones. Anaplastic thyroid gland carcinoma with multiple metastases were found at autopsy.

Aged↗

Intestinal lymphangiectasia with lipogranulomatous lymphangitis in a dog.

Intestinal lymphangiectasia with lipogranulomatous lymphangitis was diagnosed at necropsy in a 6.5-year-old Maltese dog that had a history of bouts of vomiting, abdominal distention, and diarrhea. The condition was attributed to trauma to the pleural and peritoneal cavities received from bite wounds inflicted one year previously.

Abdominal Injuries↗

Lymphangitis carcinomatosis arising from carcinoma of the cervix.

A case of lymphangitis carcinomatosis due to carcinoma of the cervix, and presenting clinically as pulmonary infarction, is described. The speed of progression of the disease is stressed and its protean manifestations are well exhibited by this case.

Brachytherapy↗

[Diffuse pulmonary carcinomatous lymphangitis. Study of respiratory function in 18 cases].

Respiratory function studies were carried out in 18 patients with diffuse and isolated pulmonary lymphangitis (LCP) diagnosed on radiological and cyto-histological grounds. Restrictive ventilatory defects were found in 17 out 18 cases CPT: 75,3% (DS = 5), CV: 56.7% (DS = 14,5). The Tiffeneau coefficient was less than 65% in 50% of cases but the DEM/CV was reduced in 77% of cases, evidence of the great frequency of airflow obstruction. The measure of the (formula; see text) was normal in 5 out of 17 cases, implying the absence of an alveolar neoplastic lesion or obliteration by arteritis or capillaritis in LCP. The alveolar-arterial oxygen gradient on hyperoxia was normal (less than 27 kPa) 14 times out of 18 and slightly increased in 4. Important hypoxaemia at rest was present 17 times out of 18; PaO2: 8 kPa (DS = 1). There was no patient with alveolar hyperventilation: PaCO2: 4.3 kPa (DS = 0.5). On exercise, hypoxaemia remained stable 4 times, improved 5 times and worsened 9 times. A pathophysiological interpretation was given for each disturbance of respiratory function. In conclusion, a characteristic respiratory function profile of LCP is proposed, with a restrictive ventilatory disturbance or moderate mixed picture, a DLCO/VA ratio generally normal, almost constant hypoxaemia at rest and improvement or worsening on exercise. CPT = Mean total lung capacity. CV = Mean vital capacity. DS = Standard deviation.

Aged↗

[Fungal intertrigo and lymphangitis (author's transl)].

The pathogenic agents are normal parasites of the epidermis but which may cause local signs and microbial secondary infection. Two types of fungus are distinguished: -- dermatophytes, which develop in the 4th interdigital space and may become exacerbated. -- yeasts, which develop from the digestive and genital mucosal surfaces. Laboratory diagnosis must be as precise as possible. Treatment consists of aeration, drying of skinfolds, alkalinization for yeasts, antiseptics and antifungal agents. Such fungal infections may represent the starting point of lymphangitis and erysipelas.

Antifungal Agents↗