Wb. Shelley et al., OCCULT STREPTOCOCCUS-PYOGENES IN CELLULITIS - DEMONSTRATION BY IMMUNOFLUORESCENCE, British journal of dermatology, 132(6), 1995, pp. 989-991
A 23-year-old man developed cellulitis and ascending lymphangitis of t
he right leg, Blood cultures and skin saline aspirates were sterile, G
ram stain of the aspirate did not show any bacteria, Direct and indire
ct immunofluorescent staining with polyclonal and monoclonal antibodie
s to Streptococcus pyogenes revealed streptococci in the reticular der
mis, The cellulitis resolved following treatment with intravenous cefa
zoline.