Clinical Consequences of Delayed Treatment for Tinea Capitis: A Case Report

September 2024 in “ PubMed ”

Victor J Raimundi-Santos, Eduardo Michelen-Gómez, Karina J. Cancel-Artau, Francisco Colón-Fontánez

tinea capitis ringworm of the scalp kerion ketoconazole shampoo mometasone lotion griseofulvin permethrin prednisolone ringworm ketoconazole mometasone

TLDR Timely and correct treatment is crucial to prevent complications and scarring in children with scalp ringworm.

A 6-year-old Hispanic girl with a 1-month history of scalp pruritic patches, hair loss, and dandruff-like scales was initially treated with ketoconazole shampoo, which was ineffective. After worsening symptoms, she was hospitalized and treated with fluconazole and mometasone, but her condition did not improve. Cultures identified Trichophyton tonsurans, leading to a diagnosis of tinea capitis with kerion formation, and Pediculus humanus capitis. A 6-week course of griseofulvin, 1-week of permethrin, and 5-day oral prednisolone successfully treated her. This case underscores the need for better interprofessional communication and awareness of proper treatment to prevent severe outcomes like kerion formation and scarring.

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