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Kerion celsi due to Microsporum audouinii: a severe form in an immunocompetent girl

A 9-year-old girl presented a large inflammatory cup-shaped scalp lesion with alopecia surrounded by pustules, dander, and suppuration associated with an occipital inflammatory lymphadenopathy for 1 month. Wood’s light exam was positive as well as KOH mount showing ectothrix type hair involvement. H...

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Detalles Bibliográficos
Autores principales: Deh, Aminata, Diongue, Khadim, Diadie, Saer, Diatta, Boubacar-Ahy, Diop, Khadim, Ndour, Niar, Ndiaye, Maodo, Diallo, Moussa, Niang, Suzanne-Oumou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175834/
https://www.ncbi.nlm.nih.gov/pubmed/34123381
http://dx.doi.org/10.1177/20499361211020879
Descripción
Sumario:A 9-year-old girl presented a large inflammatory cup-shaped scalp lesion with alopecia surrounded by pustules, dander, and suppuration associated with an occipital inflammatory lymphadenopathy for 1 month. Wood’s light exam was positive as well as KOH mount showing ectothrix type hair involvement. Hair and pus culture on Sabouraud dextrose agar (SDA) added with chloramphenicol and supplemented with cycloheximide isolated a dermatophyte species identified as Microsporum audouinii according to the colonies features. Species identification was confirmed by matrix-assisted laser desorption-ionization–time of flight mass spectrometry (MALDI–TOF MS) and the patient was treated for kerion celsi with terbinafine tablets 125 mg per day associated with a ketoconazole-based shampoo. The evolution was favorable, with hair regrowth after 2 months.