Sporotrichoid lymphangitis, or ascending spread of cutaneous nodular lesions in the distribution of the draining lymphatics, is a well-known clinical pattern with various pathogenic causes. Rare among these pathogens, however, are pyogenic bacteria.1 We report a case of sporotrichoid lymphangitis due to Staphylococcus aureus in a patient undergoing immunosuppressive therapy for dermatomyositis.