Diagnosis of Cellulitis in the Immunocompromised Host
A prospective study of diagnostic techniques in cellulitis was performed on 28 patients with malignancy. Twenty-two (78%) of the fine needle aspiration cultures and 10 (35%) of the blood cultures were positive in this immunocompromised population. The incidence of positive fine needle aspiration cul...
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| Format: | Article |
| Language: | English |
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Wiley
1990-01-01
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| Series: | Canadian Journal of Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/1990/649417 |
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| _version_ | 1832556041817030656 |
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| author | Charles F Carey Lawrence Dall |
| author_facet | Charles F Carey Lawrence Dall |
| author_sort | Charles F Carey |
| collection | DOAJ |
| description | A prospective study of diagnostic techniques in cellulitis was performed on 28 patients with malignancy. Twenty-two (78%) of the fine needle aspiration cultures and 10 (35%) of the blood cultures were positive in this immunocompromised population. The incidence of positive fine needle aspiration cultures (P<0.005) or bacteremia (P<0.0005) was significantly higher than results obtained in an immunocompetent population with cellulitis at the same institution. Staphylococci or streptococci were recovered in 59% of positive cultures, while aerobic Gram-negative bacilli grew in 33%. This study indicates that in the immunocompromised population with cellulitis, fine needle aspiration and blood cultures should be obtained, and the antibiotic regimen should cover Gram-positive cocci and Gram-negative bacilli pending the results of cultures. |
| format | Article |
| id | doaj-art-0f610375b3be47359c5f13fc5b764500 |
| institution | Kabale University |
| issn | 1180-2332 |
| language | English |
| publishDate | 1990-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases |
| spelling | doaj-art-0f610375b3be47359c5f13fc5b7645002025-02-03T05:46:32ZengWileyCanadian Journal of Infectious Diseases1180-23321990-01-011413313510.1155/1990/649417Diagnosis of Cellulitis in the Immunocompromised HostCharles F Carey0Lawrence Dall1Section of Infectious Diseases, Truman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USASection of Infectious Diseases, Truman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USAA prospective study of diagnostic techniques in cellulitis was performed on 28 patients with malignancy. Twenty-two (78%) of the fine needle aspiration cultures and 10 (35%) of the blood cultures were positive in this immunocompromised population. The incidence of positive fine needle aspiration cultures (P<0.005) or bacteremia (P<0.0005) was significantly higher than results obtained in an immunocompetent population with cellulitis at the same institution. Staphylococci or streptococci were recovered in 59% of positive cultures, while aerobic Gram-negative bacilli grew in 33%. This study indicates that in the immunocompromised population with cellulitis, fine needle aspiration and blood cultures should be obtained, and the antibiotic regimen should cover Gram-positive cocci and Gram-negative bacilli pending the results of cultures.http://dx.doi.org/10.1155/1990/649417 |
| spellingShingle | Charles F Carey Lawrence Dall Diagnosis of Cellulitis in the Immunocompromised Host Canadian Journal of Infectious Diseases |
| title | Diagnosis of Cellulitis in the Immunocompromised Host |
| title_full | Diagnosis of Cellulitis in the Immunocompromised Host |
| title_fullStr | Diagnosis of Cellulitis in the Immunocompromised Host |
| title_full_unstemmed | Diagnosis of Cellulitis in the Immunocompromised Host |
| title_short | Diagnosis of Cellulitis in the Immunocompromised Host |
| title_sort | diagnosis of cellulitis in the immunocompromised host |
| url | http://dx.doi.org/10.1155/1990/649417 |
| work_keys_str_mv | AT charlesfcarey diagnosisofcellulitisintheimmunocompromisedhost AT lawrencedall diagnosisofcellulitisintheimmunocompromisedhost |