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.

View this study on pubmed.ncbi.nlm.nih.gov →

Discuss this study in the Community →

Related Community Posts Join

6 / 10 results

community One+ year 1mg Fin, Ketoconazole, and 3.75 Oral Min. I have DUPA. Switched from Topical to Oral Min.

in Progress Pictures 142 upvotes 2 years ago

A user's experience with hair loss treatments such as finasteride, ketoconazole, and oral minoxidil that have not yielded any results; other users suggest shaving the head or getting a wig, while others offer additional advice such as seeing a dermatologist, checking thyroid levels, switching to dutasteride and adding needling, and trying stemoxydine.

community Second update: almost 3.5 months min microneedling 1.5mm once a week ketoconazole shampoo 4 times a week

in Update 586 upvotes 2 years ago

A user's hair loss treatment regimen, which includes minoxidil, ketoconazole shampoo and microneedling; some participants questioned the results due to previous posts about hair transplants, but others agreed that quick results are possible with certain treatments.

community Evidenced Based Meta-Analyses and Systemic Reviews of Androgenic Alopecia and Treatments

in Research/Science 14 upvotes 4 years ago

Evidence-based treatments for androgenic alopecia, such as minoxidil, finasteride, low-level laser light therapy, dutasteride, platelet-rich plasma, and topical ketoconazole. It discusses the efficacy, safety, and mechanism of action of these treatments, as well as future developments in understanding this polygenic condition.

community My Daily Fight against the Norwood Reaper

in Treatment 10 upvotes 5 months ago

The conversation discusses hair loss treatments, specifically using Minoxidil, finasteride, and RU58841. Users suggest simplifying the application routine and question the absence of dutasteride.

community NW 2 -> NW 1,5 15Mg oral Minoxidil (💀) + Dut 0,5mg 12 Months

in Progress Pictures 77 upvotes 1 year ago

The user, Albertgejmr, is happy with their progress in treating hair loss using 15mg oral minoxidil and 0.5mg Dutasteride. Some users express concern about the high dosage and potential side effects.

community Shrooms have done more for my hair loss than all of my hair supplements/medications combined.

in Satire 408 upvotes 1 year ago

Finding acceptance of hair loss through psychedelics, and the potential benefits of shrooms. Discussions include sharing experiences with minoxidil, finasteride, nutrafol, laser therapy, micro needling, as well as mental health concerns such as depression, suicidal thoughts, and self-esteem.

Related Research

3 / 3 results

research Tinea Capitis Mimicking Alopecia Areata

1 citations, January 2021 in “Our Dermatology Online”

A scalp infection can look like alopecia areata and get worse if treated incorrectly.

research Tinea Capitis in Adults

10 citations, January 2016 in “Dermatology online journal”

Adults with persistent scalp issues unresponsive to typical treatments should be tested for the fungal infection tinea capitis to start the right antifungal medication.

research Pediatric Tinea Capitis: Rising Incidence and Treatment

65 citations, January 2005 in “American journal of clinical dermatology”

Children with scalp fungal infections need proper diagnosis and treatment, usually with antifungal medications, and newer drugs may offer quicker recovery.