[Complicated lymphatic lesions following extensive venous surgery. Various questions apropos of 2 cases].
In reference to two rather representative cases, the author describes an clinical picture consisting of repeated attacks evoking a masked erysipelas this type of attack, in a context of repeated or extensive venous surgery with incisions in the areas of projection of the lymph collectors must be the indication lymphography showing partial lesions of the lymphatic network. This implies that the etiology is the persistence of streptococci, in dead-end collectors and their occasional awakening. The treatment proposed, justified by frequent recurrences, their progressive aggravation and the possible risks for the general condition, must be, as in chronic streptococcal infections, penicillin V therapy in prolonged but continuous doses (500,000/day) associated with a thorough hygiene of the feet and a regularly worn elastic contention.
Guex
J J
JJ
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008220:Lymphography; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D014648:Varicose Veins / Q000601:surgery*
D000900:Anti-Bacterial Agents
Lésions lymphatiques compliquées après chirurgie veineuse extensive. Quelques questions à propos de deux cas.