IP Journal of Otorhinolaryngology and Allied Science

Print ISSN: 2582-4147

Online ISSN: 2582-421X


IP Journal of Otorhinolaryngology and Allied Science (JOAS) open access, peer-reviewed quarterly journal publishing since 2018 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination more...

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Mogre: A rare image of craniofacial lymphangitis

A 38 year female presented with an uncertain history of insect bite while sleeping followed by pain and swelling over the left side of her chin. She reported no systemic symptoms.

On examination she was afebrile, a distinct erythematous lesion was seen on her mentum with a serpiginous red streaks extending from the bite site to the submental region with few subcentimeter tender level Ia lymphadenitis.(Figure 1) A provisional diagnosis of post insect bite lymphangitis was made and the patient started on oral co-amoxiclav with complete resolution of the lesion in 48 hours of starting treatment.

A large volume study has revealed that cutaneous suppuration accounts for around 12% of admissions in the United states.1 However lymphangitis in the head and neck region has not been covered well in literature. Marque et al. (2008) has reported that post insect bite lymphangitis which mimics bacterial lymphangitis however it lacks other features of bacterial infection.2

Figure 1

Erythematous serpiginous streaks on chin extending to the sub mental region.


We present to you a clinical image of a common cutaneous bacterial infection which has rarely been reported in the craniofacial region.

Conflict of Interest




BR Taira AJ Singer HC Thode CC Lee National epidemiology of cutaneous abscesses: 1996 to 2005Am J Emerg Med20092732899210.1016/j.ajem.2008.02.027


M Marque C Girard B Guillot D Bessis Superficial Lymphangitis after Arthropod Bite: A Distinctive but Underrecognized Entity?Dermatol20082173262710.1159/000149822


© This is an open access article distributed under the terms of the Creative Commons Attribution License - Attribution 4.0 International (CC BY 4.0). which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Dilesh A Mogre

Article History

Received : 20-03-2021

Accepted : 31-03-2021

Available online : 20-04-2021

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