TLDR Tinea capitis needs systemic treatment to avoid severe outcomes.
This case report described a 5-year-old girl who developed severe kerion celsi due to Trichophyton mentagrophytes, likely contracted from a pet guinea pig. Initially, the condition was misdiagnosed as a simple skin infection and treated with local antifungal agents, which proved inadequate. The infection progressed, necessitating long-term systemic treatment with griseofulvin. Despite treatment, reinfection occurred, and the girl ultimately suffered from alopecia, requiring her to wear a wig. The report concluded that tinea capitis, a common scalp infection, requires systemic treatment, and delays or inappropriate treatment can lead to severe outcomes like kerion celsi.
24 citations,
August 2007 in “Journal of pediatric surgery” Surgery is not the right treatment for a fungal scalp infection; proper medical treatment is needed.
24 citations,
March 1998 in “Mycoses” Early diagnosis and effective treatment of kerion Celsi prevent scarring and permanent hair loss.
38 citations,
July 2010 in “Clinical, cosmetic and investigational dermatology” To treat tinea capitis in children, oral antifungal medication is necessary, with newer drugs offering shorter treatment times than the traditional griseofulvin.
May 2024 in “Journal of Fungi” Tinea capitis in adults, especially postmenopausal Black women, needs prompt treatment with oral antifungals to avoid scarring.
1 citations,
January 2024 in “Journal of clinical medicine” Early recognition and treatment of tinea capitis are crucial to prevent severe scalp issues and prolonged therapy.
2 citations,
April 2022 in “Medicine” A Chinese boy's scalp infection from a guinea pig was cured with medication.
3 citations,
January 2021 in “Therapeutic advances in infectious disease” A 9-year-old girl with a healthy immune system was successfully treated for a severe fungal scalp infection caused by Microsporum audouinii.
