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Diagnosis
To detect and identify infectious agents such as streptococci and staphylococci bacterial strains blood tests and bacteria cultures can be used. Bacteria culture is suitable for identifying infectious agents in cases of severe lymphangitis that do not respond well to treatment. Differential Diagnosis
Infectious lymphangitis should be differentiated from other conditions such as superficial thrombophlebitis (swelling is local to the affected vein), cat scratch (swellings feels hard to the touch), acute streptococcal hemolytic gangrene and necrotizing fasciitis (infected area crackles to the touch and the patient looks very ill). Treatment
Both drug and non-drug based treatment options are available to treat with lymphanginitis. The wound should be treated properly, dead tissues should be removed from the wound site, and pus drained. Applying heat to the affected lymph node using hot, moist compresses, or heating pads. Immobilizing and elevating the affected limb whenever it is possible, and administering analgesics to control pain. If a local infection is invasive, immediate antibiotic drug therapy is required. Streptococci strains are the most common infectious agents and respond well to cephalosporins –  cephalexin at a dose of 0.5 mg for between 7 and 10 days – or extended-spectrum penicillin. Methiciline-resistant staphylococcus aureus is common in communities and hence the need to use improved antibiotic drugs such as trimethoprim-sulfamethoxazole for 7 to 10 days. Naficillin, oxacillin, and dicloxacillin are also effective against infections of the lymphatic system. See also
Chronic lymphangitis
Lymphadenopathy
Lymphangitis carcinomatosa

References


== External links ==
Sometimes, they may require a tracheostomy to maintain an adequate airway, and a gastrostomy to assure an adequate caloric intake while protecting the airway. Corrective surgery of the face is performed at defined ages, depending on the developmental state.An overview of the present guidelines:

If a cleft palate is present, the repair normally takes place at 9–12 months old. Before surgery,  a polysomnography with a palatal plate in place is needed. This may predict the postoperative situation and gives insight on the chance of the presence of sleep apnea (OSAS) after the operation. Hearing loss is treated by bone conduction amplification, speech therapy, and educational intervention to avoid language/speech problems. The bone-anchored hearing aid is an alternative for individuals with ear anomalies. Zygomatic and orbital reconstruction is performed when the cranio-orbitozygomatic bone is completely developed, usually at the age of 5–7 years. In children, an autologous bone graft is mostly used. In combination with this transplantation, lipofilling can be used in the periorbital area to get an optimal result of the reconstruction. Reconstruction of the lower eyelid coloboma includes the use of a myocutaneous flap, which is elevated and in this manner closes the eyelid defect. External ear reconstruction is usually done when the individual is at least eight years old. Sometimes, the external auditory canal or middle ear can also be treated.