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. 2016 Sep 22;11(9):e0162947. doi: 10.1371/journal.pone.0162947

Table 1. Initial Clinical Diagnosis, Results of Microbiology and Histopathology, Final Classification, and Procalcitonin Results.

ID Clinical Diagnosis Prior Antibiotics Culture PCR Histopathology Final Diagnosis Procalcitonin (ng/mL)
010 Cellulitis - MRSA + 3–4+ deep dermal neutrophilic infiltrate consistent with cellulitis; Gram positive intracellular cocci Bacterial cellulitis undetectable
013 Cellulitis - α-hemolytic strep, Enterococcus sp. + Stasis dermatitis with mixed acute and chronic inflammation; Gram stain negative. Bacterial cellulitis undetectable
015 Cellulitis - MSSA from pustule - Superficial and deep perivascular and interstitial (into subcutis) mixed infiltrate (neutrophils and lymphocytes) consistent with cellulitis; Gram stain equivocal/negative. Bacterial cellulitis undetectable
003 Cellulitis - - - Consistent with lymphocytic vasculitis. The biopsy shows a permeative cuff surrounding several deep dermal/subcutaneous vessels, as well as an overlying lymphocytic infiltrate surrounding the eccrine coil. Findings typical of bacterial cellulitis are lacking. Lymphocytic vasculitis may relate to a vasculopathic hypersensitivity reaction (e.g. due to a drug) or connective tissue disease. Clinical correlation required. Inflamed control 0.13
002 Cellulitis - - - Superficial perivascular lymphocytic infiltrate with associated dermal edema and rare eosinophils: Gram stain negative (such findings, although non-specific, may be seen in association with a predominantly dermal delayed hypersensitivity reaction). Clinical correlation is required. Inflamed control undetectable
018 Cellulitis 2 days - - Superficial dermal perivascular lymphocytic infiltrate with rare eosinophils and neutrophils consistent with mild hypersensitivity reaction (possibly mixed type IV and I); Gram stain negative. Inflamed control 0.10
020 Dermatitis - - - Superficial and mid-dermal perivascular lymphocytic infiltrate with occasional eosinophils consistent with delayed hypersensitivity reaction; Gram stain negative. Inflamed control undetectable
021 Dermatitis - - - Dermal edema, superficial and deep, with sparse associated perivascular lymphoid component (non-specific). Gram stain negative. Inflamed control undetectable
026 Dermatitis - - - Fat only (no additional tissue in block). Gram stain negative. Inflamed control undetectable
031 Dermatitis - - - Superficial perivascular lymphocytic infiltrate with aggregated neutrophils in scale, most consistent with delayed hypersensitivity reaction, possibly impetiginized; Gram stain negative. Inflamed control undetectable
029 Dermatitis - coag-neg, non-hemolytic Staph + Superficial perivascular lymphocytic infiltrate most consistent with delayed hypersensitivity reaction; Gram stain negative. Inflamed control undetectable
007 Cellulitis 1 day - - Superficial dermal edema and scattered superficial and deep dermal lymphocytes with rare admixed neutrophils. Gram stain negative (such findings are non-specific, although the possibility of a nearby or resolving area of more diagnostic cellulitis cannot be excluded). Indeterminate 0.06
008 Cellulitis 3 days - - Superficial and deep perivascular and interstitial mixed lymphocytic and neutrophilic infiltrate; Gram stain negative (the findings could indicate mild cellulitis; clinical correlation is required). Indeterminate 0.06
009 Cellulitis - coag-neg, non-hemolytic Staph - Intralumenal neutrophils; consistent with urticarial immune response in appropriate clinical setting; Gram stain negative. Indeterminate undetectable
012 Cellulitis <1 day - - Minimal changes (no fat included); Gram stain negative. Indeterminate 0.05
017 Cellulitis - - - Superficial dermal vascular prominence with basement membrane thickening (? stasis, age-related, diabetes, hypertension); Gram stain negative. Indeterminate undetectable
022 Cellulitis - - - Superficial and deep perivascular mixed inflammatory infiltrate, neutrophil predominant, consistent with cellulitis in appropriate clinical setting. Gram stain: no definitive bacteria seen. Indeterminate 0.37
023 Cellulitis - - - Superficial and deep sparse perivascular and interstitial mixed infiltrate approx. 50:50 neutrophils to lymphocytes);? Cellulitis; Gram stain- rare Gram positive (extracellular) of uncertain significance at tissue edge. Indeterminate undetectable
027 Cellulitis - - - Superficial and deep (incl. subcutis) mixed inflammatory infiltrate containing neutrophils, consistent with cellulitis; Gram stain negative. Indeterminate undetectable
028 Cellulitis 2 weeks (for another indication) coag-neg, non-hemolytic Staph - Superficial and deep sparse perivascular lymphocytic infiltrate (non-specific); Gram stain negative. Note: this patient was diagnosed as having a cutaneous allergy to an antibiotic given for another indication. Indeterminate undetectable
019 Dermatitis - α-hemolytic strep, corynebacteria - Evolving lichen simplex chronicus with surface impetiginization Indeterminate undetectable
001 Normal volunteer - - Sparse superficial perivascular lymphocytic infiltrate; Gram stain negative (potentially within normal limits) Normal undetectable
005 Normal volunteer - - - Within normal limits; Gram stain negative. Normal undetectable
006 Normal volunteer - - - Within normal limits; Gram stain negative. Normal undetectable
016 Normal volunteer - - - Within normal limits; Gram stain negative. Normal undetectable
030 Normal volunteer - Not collected Within normal limits; Gram stain negative. Normal undetectable
032 Normal volunteer - - - Within normal limits; Gram stain negative. Normal undetectable
033 Normal volunteer - - - Within normal limits; Gram stain negative. Normal undetectable