Kerion Celsi in a Nepalese Boy: An Underdiagnosed Cause of Scalp Swelling
| Autor: | Ranjana Parajuli, Ashish Lal Shrestha, Niranjan Nayak, Shishir Gokhale, Kundan Gautam, Shishir Subedi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Case Reports in Infectious Diseases, Vol 2021 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2090-6625 2090-6633 |
| DOI: | 10.1155/2021/5527974 |
| Popis: | Tinea capitis (TC) is an infection of the scalp and hair caused by a dermatophyte fungus. Typically caused by the zoophilic and geophilic species of Microsporum and Trichophyton, it remains the commonest cutaneous fungal infection in children. A 9-year-old Nepalese boy was evaluated in outpatients for multiple boggy scalp lesions for two months. Suspecting a bacterial etiology, the lesions were excised and sent for cultures. While bacterial cultures failed to grow, endothrix spores were readily detected in potassium hydroxide preparation and histopathology. Trichophyton tonsurans was identified by the phenotype method and later confirmed by matrix-assisted laser desorption ionization-time of flight (MALDI-TOF). Systemic antifungal therapy for 6 weeks along with local wound dressings resulted in complete recovery. At 2-year follow-up, focal alopecia was seen; however, no recurrence was noted. |
| Databáze: | Directory of Open Access Journals |
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