Protocolo diagnóstico y tratamiento de la enfermedad linfática aguda

Abstract

BackgroundLymphangitis is an inflammatory process of the lymphatic canals, which commonly develops after the inoculation of microorganisms in the lymphatic vessels through a skin defect or as a complication of a more distal infection. Clinical manifestationsAcute lymphangitis presents as an extensive skin disorder, which is accompanied by erythematous plaques and heat and can be accompanied by systemic manifestations such as fever. The microorganisms most often involved are beta-haemolytic streptococci and methicillin-sensitive Staphylococcus aureus (MSSA), although in certain circumstances the infection is caused by methicillin-resistant Staphylococcus aureus (MRSA). DiagnosisThe correct diagnosis is based on the medical history and physical examination. We also need to consider the laboratory and microbiological tests for the possible entry point to start appropriate treatment, which will initially be based on empirical antibiotic therapy (typically oral), requiring parenteral therapy, hospitalisation and coverage against MRSA in certain cases.