The patient had a chronic history of a venous type
of ulcer in the medial aspect of the lower leg. This
ulcer had healed with local treatments. At this
point in time, the examination of the lower
extremities revealed an edematous, erythematous and
frail skin. The edema did not have a distribution
resembling a chevron. A culture of the skin revealed
staphylococcus
aureus resistant to penicillin and
tetracycline. The clinical diagnosis is lymphangitis.