Streptococcal cellulitis proved by skin biopsy in a coronary artery bypass graft patient.
There has been a question about the etiology and pathogenesis of recurrent cellulitis of the lower leg in patients following coronary artery bypass graft surgery. We observed a similar patient who had gram-positive cocci in chains, consistent with streptococci, within the dermis in a tissue biopsy specimen taken from the site of cellulitis. In addition, our patient had a second skin infection, namely, tinea pedis, which may be the portal of entry for streptococci. Concurrent treatment with a systemic antibiotic and a topical antifungal cream was effective in clearing both infections.
D001706:Biopsy; D002481:Cellulitis / Q000209:etiology / Q000473:pathology*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012867:Skin / Q000473:pathology*; D013290:Streptococcal Infections / Q000209:etiology / Q000473:pathology*