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Case Report and Literature Review of Impetigo-Like Tinea Faciei

Impetigo, commonly caused by bacteria, is characterized by lesions of pustules, bullae or golden yellow crusts; it is seldom caused by fungi. Here, we report one case of a 17-year-old female patient with a 1-month history of erythematous pustules on her left cheek. She was clinically diagnosed with...

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Autores principales: Zhang, Fangfang, Feng, Yahui, Wang, Sisi, Li, Dongmei, Shi, Dongmei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9109911/
https://www.ncbi.nlm.nih.gov/pubmed/35586559
http://dx.doi.org/10.2147/IDR.S359500
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author Zhang, Fangfang
Feng, Yahui
Wang, Sisi
Li, Dongmei
Shi, Dongmei
author_facet Zhang, Fangfang
Feng, Yahui
Wang, Sisi
Li, Dongmei
Shi, Dongmei
author_sort Zhang, Fangfang
collection PubMed
description Impetigo, commonly caused by bacteria, is characterized by lesions of pustules, bullae or golden yellow crusts; it is seldom caused by fungi. Here, we report one case of a 17-year-old female patient with a 1-month history of erythematous pustules on her left cheek. She was clinically diagnosed with “impetigo”, but did not respond to 1 week of treatment with topical mupirocin cream (antibacterial agent). We then saw that a fungal colony grew on the culture, which was identified as T. mentagrophytes based on the morphological and molecular characteristics. The patient was then diagnosed with tinea faciei and was topically treated with 0.2% ketoconazole cream twice per day for 7 days. Through a literature review, we found another 18 cases of impetigo-like tinea faciei with similar clinical manifestations and pathogenic characteristics. Among these, the most common causative agent was T. mentagrophytes complex, which frequently occurs in children and adolescents and exhibits no gender preferences. Systemic and topical antifungals such as terbinafine or itraconazole are effective for impetigo-like tinea faciei caused by T. mentagrophytes complex. However, prolonged course of impetigo in more than 50% cases highlights the importance of mycological examination when dealing with apparent antibiotic-resistant impetigo cases in clinical settings.
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spelling pubmed-91099112022-05-17 Case Report and Literature Review of Impetigo-Like Tinea Faciei Zhang, Fangfang Feng, Yahui Wang, Sisi Li, Dongmei Shi, Dongmei Infect Drug Resist Case Report Impetigo, commonly caused by bacteria, is characterized by lesions of pustules, bullae or golden yellow crusts; it is seldom caused by fungi. Here, we report one case of a 17-year-old female patient with a 1-month history of erythematous pustules on her left cheek. She was clinically diagnosed with “impetigo”, but did not respond to 1 week of treatment with topical mupirocin cream (antibacterial agent). We then saw that a fungal colony grew on the culture, which was identified as T. mentagrophytes based on the morphological and molecular characteristics. The patient was then diagnosed with tinea faciei and was topically treated with 0.2% ketoconazole cream twice per day for 7 days. Through a literature review, we found another 18 cases of impetigo-like tinea faciei with similar clinical manifestations and pathogenic characteristics. Among these, the most common causative agent was T. mentagrophytes complex, which frequently occurs in children and adolescents and exhibits no gender preferences. Systemic and topical antifungals such as terbinafine or itraconazole are effective for impetigo-like tinea faciei caused by T. mentagrophytes complex. However, prolonged course of impetigo in more than 50% cases highlights the importance of mycological examination when dealing with apparent antibiotic-resistant impetigo cases in clinical settings. Dove 2022-05-12 /pmc/articles/PMC9109911/ /pubmed/35586559 http://dx.doi.org/10.2147/IDR.S359500 Text en © 2022 Zhang et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Zhang, Fangfang
Feng, Yahui
Wang, Sisi
Li, Dongmei
Shi, Dongmei
Case Report and Literature Review of Impetigo-Like Tinea Faciei
title Case Report and Literature Review of Impetigo-Like Tinea Faciei
title_full Case Report and Literature Review of Impetigo-Like Tinea Faciei
title_fullStr Case Report and Literature Review of Impetigo-Like Tinea Faciei
title_full_unstemmed Case Report and Literature Review of Impetigo-Like Tinea Faciei
title_short Case Report and Literature Review of Impetigo-Like Tinea Faciei
title_sort case report and literature review of impetigo-like tinea faciei
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9109911/
https://www.ncbi.nlm.nih.gov/pubmed/35586559
http://dx.doi.org/10.2147/IDR.S359500
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