Severe kerion celsi due to <i>Trichophyton mentagrophytes</i>: a case report

Jaspers, Gerald; Werrij, Barbara G; Jagtman, B A; Loza, Bettina F.

doi:10.1111/j.1651-2227.2011.02256.x

Cited by 11 publications

(13 citation statements)

References 10 publications

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“…This acute painful inflammatory boggy mass with alopecia on the scalp, often with crusting and purulent discharge, is called kerion celsi and it is the result of an intense hypersensitivity reaction from a dermatophytic infection 10 . This condition is rare, with only few articles in the literature and most of them are case reports 7,10–12 . In our study, 121 cases of inflammatory TC were reviewed between a total 881 TC (13.73%) and a total 96251 consultants (0.125%) collected through 12 years.…”

Section: Discussionmentioning

confidence: 99%

“…The presenting symptoms vary widely and are mostly mild and transient. A more uncommon and often misdiagnosed symptom is inflammatory TC (kerion celsi), a severe inflammatory reaction with sometimes devastating consequences 5–7 . The true incidence and prevalence of inflammatory TC remain unknown in Tunisia and no large, long‐term study of this form of TC has been conducted in recent years.…”

Section: Introductionmentioning

confidence: 99%

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Inflammatory Tinea capitis: a 12‐year study and a review of the literature

Zarâa

Hawilo

Aounallah

et al. 2012

Mycoses

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Inflammatory Tinea capitis (TC) is a rare form of TC. The aim of this study was to review epidemiological, clinical and mycological profile of inflammatory TC. We present a retrospective study (1999-2010), enrolled all the cases of inflammatory TC observed at a referral hospital in the northern Tunisia. One hundred and twenty-one patients with inflammatory TC, 83 male patients (68.6%) and 38 female patients (31.4%) were enrolled. The mean age was about 8 years. A majority of TC (71.9%) were in patients lesser than 10 years of age. Positive family history and contact with animals were noted in seven and 35 cases respectively. Direct examination was positive in 110 cases (59 ectothrix, 51 endothrix) and positive cultures were obtained in 105 patients (49 Trichophyton violaceum, 31 Microsporum canis, 13 Trichophyton interdigitale complex, 12 Trichophyton verrucosum). Systemic treatment was carried out in 115 patients with griseofulvin, in one with terbinafine. A complete recovery was noted in 88 cases; and persistent alopecia in 28 cases. The inflammatory TC is rare, but more common in rural families. The disease mostly affected male genders (68.6%) and T. violaceum remains the common pathogen of inflammatory TC in northern Tunisia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inflammatory Tinea capitis: a 12‐year study and a review of the literature

Zarâa

Hawilo

Aounallah

et al. 2012

Mycoses

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“…Zoophilic dermatophytes are divided into subspecies depending primarily on their molecular characteristics . Trichophyton mentagrophytes complex species , Microsporum canis and Trichophyton verrucosum are considered as the most common zoophilic dermatophyte infecting humans . Trichophyton benhamiae, a species recently described as an independent species associated with the T mentagrophytes species complex , has in recent years received more attention due to increasing infections in humans .…”

Section: Introductionmentioning

confidence: 99%

Would you like to purchase a rodent with dermatophytes?

Tekin

Sigsgaard

Zachariae

et al. 2019

Mycoses

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Summary The zoophilic dermatophyte Trichophyton benhamiae has received attention due to increasing infections in human in recent years. Trichophyton benhamiae has been found on asymptomatic rodents from pet shops in several countries posing a potential risk for transmission to humans. The aim of this study was to determine the prevalence of positive dermatophyte cultures from rodents in Danish pet shops in order to clarify the magnitude of potential sources of zoophilic infections and to prevent further spread. Specimen sampling was performed in 17 Danish pet shops using the brush technique (MacKenzie technique). After incubation, cultures were sent to ITS DNA sequencing for molecular species identification. Pet shop employees were asked to fulfil a five‐question survey regarding purchase and procedures of diseased animals. A total of 98 animals were sampled (N = 32 rabbits, N = 32 guinea pigs and N = 34 hamsters). Trichophyton benhamiae was found in 14/98 samples (14%); 12/32 guinea pigs (38%) were positive with T benhamiae, 2/34 (6%) hamsters and 0/32 rabbits (0%). We found that hamsters and particularly guinea pigs from Danish pet shops are common asymptomatic carriers of the dermatophyte T benhamiae. Although a larger study is warranted to test this postulate, and it raises the question if infection control measures should be implemented in pet shops.

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“…Although it may mimic an allergic reaction, it should not lead to discontinuation of antifungal treatment [54]. Acute vesicular dermatitis of the hands and feet is the most common type of id reaction.…”

Section: Kerion Celsi [Kc] [So-called Deep Tinea Capitis] Is An Uncommentioning

confidence: 99%

Infections, Infestations and Neoplasms of the Scalp

Canpolat¹

2017

Hair and Scalp Disorders

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This chapter reviews common cutaneous infections, infestations, and neoplasms of the scalp. Infections of the scalp are subdivided into three major groups. The most seen are: (1) Bacterial: Folliculitis, folliculitis decalvans, tufted hair folliculitis and acne keloidalis nuchae. (2) Fungal: Tinea capitis, favus and kerion celsi. (3) Protozoal: Syphilitic alopecia. Pediculosis capitis is the most common worldwide infestation of the scalp. The neoplasms of the scalp are large group of different diseases due to arising different origin. In the following section, trichilemmal cyst, proliferating trichilemmal cyst, nevus sebaceous and cylindroma are discussed in detail.

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Severe kerion celsi due to Trichophyton mentagrophytes: a case report

Abstract: Tinea capitis is a common skin infection that should be considered in any type of scalp lesion. It requires systemic treatment, and inappropriate and delayed treatment can result in the development of kerion celsi, with sometimes devastating consequences.

Cited by 11 publications

References 10 publications

Inflammatory Tinea capitis: a 12‐year study and a review of the literature

Inflammatory Tinea capitis: a 12‐year study and a review of the literature

Would you like to purchase a rodent with dermatophytes?

Infections, Infestations and Neoplasms of the Scalp

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