Epidemiology of Lymphangitis • Prevalence of lymphangitis is not well-documented due to its non-specific symptoms. • It is a common condition in developing countries. • Lymphangitis occurs in people of all age groups, but it is more common in children and young adults.
Classification of Lymphangitis • Acute lymphangitis • Chronic lymphangitis
Acute Lymphangitis • Definition: Inflammation of the lymphatic vessels caused by bacterial or fungal infections. • Causes: • Staphylococcus aureus • Streptococcus pyogenes • Haemophilus influenzae • Bacterial or fungal infections through open wounds. • Clinical Features: • Red streaks or lines along the affected lymphatic vessels • Swelling, pain, and tenderness at the affected area • High fever • Chills • Lymphadenopathy • Skin lesions or abscesses • Investigations: • Gram stain and culture of the affected tissues • Blood culture • Ultrasound or CT scan to confirm the presence of lymphangitis • Complications: • Cellulitis • Lymphadenitis • Abscess formation • Septicemia • Management: • Antibiotics • Rest • Wound care • Elevation of the affected limb • Warm compresses
Chronic Lymphangitis • Definition: Long-standing inflammation of the lymphatic vessels. • Causes: • Recurrent bacterial or fungal infections • Trauma to the lymphatic vessels • Congenital lymphatic abnormalities • Clinical Features: • Chronic inflammation of the lymphatic vessels • Recurring episodes of acute lymphangitis • Lymphedema • Skin changes such as hyperpigmentation or thickening • Investigations: • Lymphangiography • CT or MRI scans to visualize the lymphatic vessels • Complications: • Lymphedema • Skin ulcers • Abscesses • Septicemia • Management: • Antibiotics • Wound care • Elevation of the affected limb • Physical therapy to improve lymphatic drainage • Surgery to remove affected lymph nodes or vessels
Homoeopathic Therapeutic Medicines • Aconitum napellus: for sudden onset of pain and inflammation • Arnica montana: for inflammation and swelling • Belladonna: for high fever and inflammation • Calendula officinalis: for wound care and skin ulcers • Graphites: for lymphedema and skin thickening • Silica: for chronic inflammation and tissue damage