Prophylaxis of Recurrent Lymphangitis Complicating Lymphedema

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Abstract
ACUTE LYMPHANGITIS and cellulitis not uncommonly complicate lymphedema of both the idiopathic and secondary types. The patient is often incapacitated during such an acute episode and recurrent attacks may intensify the lymphedema already present. Thus, attempts to prevent such recurrent infections are warranted. In 19621 we described preliminary results in five patients with lymphedema who were treated with antibiotics prophylactically to prevent recurrent lymphangitis. None had further episodes over follow-up periods of 6 to 30 months. Encouraged by these results, we have since treated an additional 21 patients as previously outlined (Table 1). An appraisal of this further experience forms the basis of this report. Material The charts of all patients with recurring lymphangitis seen at the Mayo Clinic from 1960 through 1964 were reviewed. Twenty-six patients, ranging in age from 18 to 71 years, had been placed on a program of antibiotic prophylaxis for recurrent lymphangitis. Causes of

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