Fungal kerion of the vulva

Vulvar Majocchi granuloma and kerion formation in an immunocompetent female

“…Majocchi granuloma of the vulva is an uncommon presentation of a common disease process. With only a handful of cases reported in the literature most cases are associated with an immunocompromised state [1][2][3][4][5][6]. Reports of Majocchi granuloma on the legs is frequently associated with shaving with a razor.…”

Kerion of the pubis and vulva with bacterial superinfection: a rare occurrence

“…Shaving the genital region is associated with numerous morbidities, including both minor insults (epidermal abrasion, ingrown hairs) and more severe conditions that require medical care (folliculitis) 14. It is important to note that all five of the previously reported cases of vulvar kerion were associated with a recent history of shaving the genital region 5–8 15. This is a significant source of potential morbidity for patients, and physicians should take care to discuss these risks in a way that is sensitive and culturally appropriate.…”

“…Kerion celsi of the vulva is rare. Reported cases show geographical diversity of the condition, but all reports identified Trichophyton mentagrophytes as the causative fungal agent, and many patients had recently shaved the pubic area 5–8. Diagnosis typically requires fungal culture or skin biopsy with periodic acid-Schiff (PAS) staining, as potassium hydroxide (KOH) prep scrapings may not identify the causative organism of deep infections 8.…”