A Retrospective Study of the Management of Pediatric Kerion in Trichophyton Tonsurans Infection

Proudfoot, Laura E.; Higgins, Elisabeth M.; Morris‐Jones, Rachael

doi:10.1111/j.1525-1470.2011.01645.x

Cited by 28 publications

(37 citation statements)

References 19 publications

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“…In addition, use of 1% or 2.5% selenium sulfide, 2% ketoconazole, 1–2% zinc pyrithione, and 2.5% povidone iodine shampoos may reduce transmission if used within the first 2 weeks of infection . Use of prednisone during the first week of infection may alleviate pain and swelling accompanying inflammatory subtypes …”

Section: Treatmentmentioning

confidence: 99%

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The kerion: an angry tinea capitis

2016

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Tinea capitis has a high incidence with a global changing pathogen distribution, making this condition a public health concern around the world. As the infection is initially asymptomatic, it is easily spread. Moreover, it is present in many fomites, including hairbrushes, pillows, and bedding. Prompt recognition and treatment is necessary for kerion, an inflammatory subtype characterized by tender boggy plaques with purulent drainage. Kerion is usually associated with infection by zoophilic dermatophytes, although other sources have been described. Treatment for this severe form of dermatophytic infection can be challenging. In addition to the use of topical treatments, oral administration of griseofulvin, terbinafine, itraconazole, or fluconazole is often required. Griseofulvin, the first-line treatment, may not completely eradicate pathogen colonization of the host and may contribute to reinfection and prevalence of infective but asymptomatic carriers. This review highlights new agents that are being evaluated for the treatment of kerion and typical tinea capitis, enhanced diagnostic criteria, and a grading system for kerion evaluation.

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Section: Treatmentmentioning

confidence: 99%

“…It is important that surgical drainage of kerion is not performed, despite the similarities with bacterial abscesses. In addition, treatment with steroids has not been shown to reduce scarring or confer long‐term advantages but may reduce itching and pain …”

Section: Treatmentmentioning

confidence: 99%

The kerion: an angry tinea capitis

2016

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“…The former is characterized by (predominantly) arthrospores forming a sheath around the hair shaft, whereas the latter is marked by the dermatophyte invading the hair shaft without destroying the cuticle. In recent years, there have also been reports -especially in urban areas -of inflammatory endothrix infections caused by T. tonsurans or T. violaceum in particular [31]. Most anthropophilic species (in particular, T. tonsurans, T. violaceum, T. soudanense) give rise to endothrix infections.…”

Section: Infection Patterns and Clinical Presentationmentioning

confidence: 99%

S1 guidelines: Tinea capitis

Mayser¹,

Nenoff

Reinel³

et al. 2020

J Deutsche Derma Gesell

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Tinea capitis describes a dermatophyte infection of scalp and hair that predominately occurs in children. The diagnostic workup includes microscopic examination, culture and/or molecular tests. Treatment is guided by the specific organism involved and should consist of systemic agents as well as adjuvant topical treatment. The aim of the present update of the interdisciplinary German S1 guidelines is to provide Guidelines

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“…Contact with infected children and animals, diabetes mellitus, anemia, immune suppression and the use of topical and systemic steroids are responsible factors for adult-onset disease (5,11,12) . Griseofulvin (20 mg/kg/day for a period of 6-12 weeks) is the recommended treatment regimen in children (13,14) . In recent years, new antifungal agents (fluconazole, terbinafine, itraconazole) have been increasingly used for treatment (14)(15)(16) .…”

Section: Dıscussıonmentioning

confidence: 99%

“…Griseofulvin (20 mg/kg/day for a period of 6-12 weeks) is the recommended treatment regimen in children (13,14) . In recent years, new antifungal agents (fluconazole, terbinafine, itraconazole) have been increasingly used for treatment (14)(15)(16) . Fluconazole may be a safe and effective choice in childhood (16) .…”

Section: Dıscussıonmentioning

confidence: 99%

Trichosporon asteroides: A novel ethiological agent of Kerion celsi in a child

Kocabaş¹,

Karbuz²,

Çıftçı³

et al. 2016

BUCH

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Kerion celsi is generally known as an inflammatory form of tinea capitis which is the result of delayed type hypersensitivity reaction of the body to fungal agents. It causes a painful, inflamed, crusty mass on the scalp and is often associated with purulent drainage and regional lymphadenopathy. Kerion celsi is often reported in children between three to seven years of age and it has a male predominance. This diagnosis should be kept in mind in patients with scalp scaling and alopecia, especially if they have pustular, crusted and nodular lesions and easily breaking hairs on the scalp. If untreated, alopecic scar tissue inevitably develops on the scalp. Differential diagnosis with bacterial pyoderma or abscess is important and may avoid unnecessary and inappropriate surgical drainage. Although causative species show variations between regions, zoophilic dermatophytes such as Microsporum canis, Trichophyton verrucosum and Trichophyton interdigitale complex are usually isolated from cultures. Herein, we report a ten year-old boy who was referred to our clinic because of pyodermic skin lesion and abscess formation which did not respond to antibacterial treatment. He was diagnosed as kerion celsi related to Trichosporon asteroides and successfully treated with systemic fluconazole within eight weeks. To our knowledge this is the first case of kerion celsi in the literature caused by T. asteroides. Key words: Kerion celsi, tinea capitis, trichosporon asteroides ÖZKerion celsi, genellikle inflamatuvar tipte tinea capitis olarak bilinen ve vücudun fungal etkenlere karşı geliştirdiği geç tip bir hipersensitivite reaksiyonudur. Saçlı deride ağrı ve enflamasyonun eşlik ettiği krutlu bir tabaka gelişimine neden olur ve sıklıkla akıntı ve bölgesel lenfadenopati ile birliktedir. Hastalık 3-7 yaş arasında ve erkek çocuklarda daha sık olarak bildirilmektedir. Saçlı deride saç kaybı, püstüler ve nodüler lezyon üzerinde akıntılı ve kurutlu bir tabaka gelişmesi, lezyon üzerine basıl-dığında pü gelmesi ve saçların kolaylıkla çekilince kayarak kopması durumunda akla gelmelidir. Tedavi edilmediği takdirde saçlı deride alopesik skar dokusu gelişimi kaçı-nılmazdır. Gereksiz ve uygun olmayan cerrahi drenaj işleminin önlenebilmesi için bakteriyel piyodermi ve abseler ile ayırıcı tanısı önem taşımaktadır. Etiyolojik ajanlar bölgelere göre farklılık göstermekle birlikte Microsporum canis, Trichophyton verrucosum and Trichophyton interdigitale kompleks gibi zoofilik dermatofitler sıklıkla izole edilir. Burada, kliniğimize antibiyotik tedavisine yanıtsız bakteriyel piyodermi ve abse ön tanısı ile yönlendirilen ve Trichosporon asteroides'e bağlı kerion celsi tanı-sı konularak 8 haftalık flukanozol ile başarılı şekilde tedavi edilen 10 yaşında bir erkek çocuk olgu sunulmaktadır. Hastamızı T. asteroides'in etken olduğu ilk kerion celsi olgusu olarak sunmaktayız.

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A Retrospective Study of the Management of Pediatric Kerion in Trichophyton Tonsurans Infection

Cited by 28 publications

References 19 publications

The kerion: an angry tinea capitis

The kerion: an angry tinea capitis

S1 guidelines: Tinea capitis

Trichosporon asteroides: A novel ethiological agent of Kerion celsi in a child

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