Gómez-Sáenz A, Blanco L

Language: Spanish
References: 16
Page: 243-245
PDF size: 136.10 Kb.

ABSTRACT

Kerion Celsi is a scalp tinea with a severe inflammatory response with pustulae and abscesses. Microsporum canis and Trichophyton mentagrophytes, are the most common causal agents and if untreated cicatricial alopecia is frequent observed. A 4-year-old male patient from San Carlos, Alajuela, Costa Rica, presented with a one month history of multiple seropurulent, painful and pruriginous lesions in the head. No fungal structures were observed in the koh study, and in Sabouraud dextose Agar culture with cycloheximide and chloramphenicol, Trichophyton mentragrophytes was isolated, confirming the diagnosis of Kerion Celsi. Successful treatment with griseofulvin 20mg/kg/day and prednisone 0.5 mg/kg/day were given for six weeks.

REFERENCES

1. Isa-Isa R, Arenas R e Isa M, Inflammatory tinea capitis: kerion, dermatophytic granuloma, and mycetoma, Clinics in Dermatology 2010; 28:133-6.

2. Hay RJ, Tinea capitis: current status, Mycopathologia 2017; 182:87-93.

3. Larralde M, Gomar B, Boggio P, Abad ME y Pagotto B, Neonatal kerion Celsi: report of three cases, Pediatric Dermatology 2010; 27:361-3.

4. Fuller LC, Barton RC, Mohd MF et al., British Association of Dermatologists’ guidelines for the management of tinea capitis 2014, British Journal of Dermatology 2014; 171:454-63.

5. Zuluaga A, Cáceres D, Arango K, De Bedout C y Cano L, Epidemiología de la tinea capitis: 19 años de experiencia en un laboratorio clínico especializado en Colombia, Infectio 2016; 20(4):225-30.

6. Michaels B y Del Rosso J, Tinea capitis in infants recognition, evaluation, and management suggestions, J Clin Aesthet Dermatol 2012; 5(2):49-59.

7. Nenoff P, Herrmann J y Gräser Y, Trichophyton mentagrophytes sive interdigitale? A dermatophyte in the course of time, JDDG 2007; 5:198-202.

8. Larralde M, González V, Lábel M, Aragón A y Negroni R, Variación clínica y epidemiológica de dermatoficias zoófilas, Arch argent pediatr, 2001; 99(3):205-9.

9. Martínez-Suárez H, Guevara-Cabrera N, Mena C, Valencia A, Araiza J y Bonifaz A, Tinea de la cabeza. Reporte de 122 casos, DCMQ 2007; 5(1):9-14.

10. Alcalá PJ, Sánchez A, Pérez O y Loeda C, Querion de Celso. Infección por Trichophyton mentagrophytes, Acta Pediatr Esp 2005; 63:479-82.

11. Santo PE, Córdoba S, Rodero L, Carrillo-Muñoz A y Lopardo H, Tinea capitis. Experiencia de 2 años en un hospital de pediatría de Buenos Aires, Argentina, Rev Iberoam Micol 2010; 27(2):104-6.

12. Pazmiño J, Morales C, Orellana I, Seminario ME y Córdoba-Neira F, Querión de Celso severo: a propósito de un caso pediátrico, Revista Médica HJCA 2014; 6:97-100.

13. Del Boz-González J, Tendencias de la tinea capitis en España, Actas Dermosifiliogr 2012; 288-93.

14. Ming-Kai JI y Cheng B, A case of kerion due to Trichophyton mentagrophytes: neglected post-traumatic infections?, Skin Dis Skin Care 2017; 2:1-2.

15. John A, Schwartz R y Janniger C, The kerion: an angry tinea capitis, Int J Dermatol 2016; 1-7.

16. González U, Seaton T, Bergus G, Jacobson J y Martínez-Monzón C, Systemic antifungal therapy for tinea capitis in children (review), Evid- Based Child Health 2009; 4:132-221.