Inflammatory Tinea Capitis: Non-Healing Plaque on the Occiput of a 4-Year-Old Child
May 2010
in “
Annals of the Academy of Medicine Singapore
”
TLDR Tinea capitis can cause scalp issues in children and should be considered in similar cases; treatment with griseofulvin and selenium sulfide is effective.
A 4-year-old girl in Singapore presented with inflammatory tinea capitis, characterized by multiple pustules on the occipital scalp and painful cervical lymphadenopathy, which did not respond to antibiotics. Diagnosed with kerion caused by Microsporum species, she was successfully treated with oral griseofulvin and selenium sulfide shampoo, resulting in improvement without residual alopecia. The case highlighted the importance of considering tinea capitis in patients with scalp folliculitis or scarring alopecia and recommended veterinary screening for pets and avoiding sharing combs.
