Streptococcal Cellulitis Proved by Skin Biopsy in a Coronary Artery Bypass Graft Patient

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Abstract
• 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. (Arch Dermatol 1985;121:908-909)

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