Abstract
Fifty patients with cellulitis were evaluated prospectively using cultures of aspirates from the advancing edge of cellulitis, skin biopsy specimens, and blood. Potential microbial pathogens were isolated in 13 patients. Biopsy specimen cultures were positive in ten patients, while aspirate and blood cultures were positive in five and two, respectively. Aspirate, biopsy, or blood cultures were more often positive in patients with apparent primary lesions than in patients without such lesions. Apparent primary sites of infection were identified and cultured in 24 patients. β-Hemolytic streptococci were isolated from 17 primary lesions, and coagulase-positive staphylococci were present in 13. Both organisms were isolated from ten primary lesions. Among patients with positive aspirate, biopsy, and/or blood cultures, the same pathogens were also isolated from primary sites in ten of ten patients. Clinical features, including temperature, white blood cell count, and erythrocyte sedimentation rate, were not predictive of positive aspirate, biopsy, or blood cultures. These cultures provided no microbiologic information that was not obtainable from culture of primary lesions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 295-297 |
| Number of pages | 3 |
| Journal | Archives of Internal Medicine |
| Volume | 146 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1986 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Internal Medicine
Cite this
Microbiologic Evaluation of Cutaneous Cellulitis in Adults. / Hook, Edward W.; Hooton, Thomas; Horton, Christy A.; Coyle, Marie B.; Ramsey, Paul G.; Turck, Marvin.
In: Archives of Internal Medicine, Vol. 146, No. 2, 1986, p. 295-297.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Microbiologic Evaluation of Cutaneous Cellulitis in Adults
AU - Hook, Edward W.
AU - Hooton, Thomas
AU - Horton, Christy A.
AU - Coyle, Marie B.
AU - Ramsey, Paul G.
AU - Turck, Marvin
PY - 1986
Y1 - 1986
N2 - Fifty patients with cellulitis were evaluated prospectively using cultures of aspirates from the advancing edge of cellulitis, skin biopsy specimens, and blood. Potential microbial pathogens were isolated in 13 patients. Biopsy specimen cultures were positive in ten patients, while aspirate and blood cultures were positive in five and two, respectively. Aspirate, biopsy, or blood cultures were more often positive in patients with apparent primary lesions than in patients without such lesions. Apparent primary sites of infection were identified and cultured in 24 patients. β-Hemolytic streptococci were isolated from 17 primary lesions, and coagulase-positive staphylococci were present in 13. Both organisms were isolated from ten primary lesions. Among patients with positive aspirate, biopsy, and/or blood cultures, the same pathogens were also isolated from primary sites in ten of ten patients. Clinical features, including temperature, white blood cell count, and erythrocyte sedimentation rate, were not predictive of positive aspirate, biopsy, or blood cultures. These cultures provided no microbiologic information that was not obtainable from culture of primary lesions.
AB - Fifty patients with cellulitis were evaluated prospectively using cultures of aspirates from the advancing edge of cellulitis, skin biopsy specimens, and blood. Potential microbial pathogens were isolated in 13 patients. Biopsy specimen cultures were positive in ten patients, while aspirate and blood cultures were positive in five and two, respectively. Aspirate, biopsy, or blood cultures were more often positive in patients with apparent primary lesions than in patients without such lesions. Apparent primary sites of infection were identified and cultured in 24 patients. β-Hemolytic streptococci were isolated from 17 primary lesions, and coagulase-positive staphylococci were present in 13. Both organisms were isolated from ten primary lesions. Among patients with positive aspirate, biopsy, and/or blood cultures, the same pathogens were also isolated from primary sites in ten of ten patients. Clinical features, including temperature, white blood cell count, and erythrocyte sedimentation rate, were not predictive of positive aspirate, biopsy, or blood cultures. These cultures provided no microbiologic information that was not obtainable from culture of primary lesions.
UR - http://www.scopus.com/inward/record.url?scp=84941818475&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84941818475&partnerID=8YFLogxK
U2 - 10.1001/archinte.1986.00360140113016
DO - 10.1001/archinte.1986.00360140113016
M3 - Article
C2 - 3947189
AN - SCOPUS:84941818475
VL - 146
SP - 295
EP - 297
JO - JAMA Internal Medicine
JF - JAMA Internal Medicine
SN - 2168-6106
IS - 2
ER -