The Mystery of an Inflamed Soul Patch

    January 2024 in “ PubMed ”
    Kayla Brockmeyer, Patrick McMahon
    TLDR A fungal infection caused the skin issue, and it was cured with antifungal treatment.
    A 20-year-old man developed dermatitis on his scalp and 'soul patch' area, initially misdiagnosed as a Herpes simplex infection. After ineffective treatment with antiviral medications, further examination and a fungal culture identified the cause as a fungal infection by Trichophyton mentagrophytes. Despite having a dog, no other animal contact was noted. The patient was successfully treated with oral terbinafine for 6 weeks, along with ketoconazole 2% shampoo and cream, leading to complete resolution of the symptoms.
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