Unusual cause of lymphangitis in a 2 year old boy
A 2 year old previously healthy boy presented with 24 h of fever, and painful right axillary and elbow swelling. He had a 2x2x2.5 cm non tender, non erythaematous, mobile axillary mass, oedema and mild erythaema of his lower right arm, and cervical and inguinal lymphadenopathy. Initial investigations showed: haemoglobin 106 g/L, white cell count 13.2x109/L and C reactive protein 50 mg/L. Ultrasound confirmed lymphadenopathy and soft tissue oedema, and the patient was treated with oral co amoxiclav for lymphadenitis. After 4 days, his treatment was changed to intravenous ceftriaxone due to persisting symptoms. His fever terminated on day five, and the axillary lymph node
BMJ Case Reports