The First Case Report of Kerion-Type Scalp Mycosis Caused by Aspergillus Protuberus

    June 2019 in “ BMC infectious diseases
    Jinjing Jia, Min Chen, Xiumei Mo, Junfeng Liu, Fenggen Yan, Zhengxiao Li, Shaoqiong Xie, Dacan Chen
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    TLDR A rare fungal infection on a child's scalp was successfully treated with antifungal medication.
    In 2019, a rare case of kerion-type scalp mycosis caused by Aspergillus protuberus was reported for the first time. A 5-year-old girl presented with a pyogenic mass on her scalp, pain, and fever. Initial treatment with surgical incision, drainage, and antibiotics in a local hospital worsened her condition. The causative fungus was identified through morphological, biochemical characteristics, and genetic sequencing. The patient responded well to oral and topical antifungal treatments, with no relapse over a six-month follow-up period. This case underscored the importance of mycological examination for accurate diagnosis, particularly in children with boggy scalp lesions and hair loss that do not respond to antibiotics, as these may be indicative of a fungal infection rather than a bacterial one.
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