Nonbacterial Causes of Lymphangitis With Streaking

Brandon E. Cohen, MD; Arielle R. Nagler, MD; Miriam Keltz Pomeranz, MD


J Am Board Fam Med. 2016;29(6):808-812. 

In This Article


Lymphangitic streaking has a number of nonbacterial etiologies, including viral and fungal infections and reactions to insect or spider bites. In addition, several episodes of lymphangitic reactions to medical interventions in the absence of bacterial superinfection have been reported. Because several nonbacterial etiologies of lymphangitic streaking can mimic bacterial infection, it can present a diagnostic challenge. It is important to include alternative etiologies in the differential diagnosis of patients with lymphangitic streaking, particularly those patients who do not respond to antibacterial therapy. Awareness of the differential diagnosis of lymphangitic streaking may help reduce the incidence of misdiagnosis and promote appropriate patient management.