Tinea Capitis in Two Siblings
April 2021
in “
Cermin Dunia Kedokteran
”
tinea capitis baldness itchy scaly red spots crusted patches brittle hair KOH microscopic examination M. canis Rhodotorulla ketoconazole lotion ketoconazole shampoo dermatophyte infections scalp inspection KOH examination culture ringworm of the scalp hair loss itchiness red spots crusty patches KOH test Microsporum canis Nizoral lotion Nizoral shampoo fungal infections scalp check fungal culture
TLDR Two siblings with tinea capitis improved after treatment with ketoconazole.
The document reports two cases of tinea capitis in a 3-year-old and a 6-year-old sister who had been experiencing baldness for one month, which began with itchy, scaly red spots that progressed to crusted patches, with hair that was brittle and easily pulled out. The diagnosis was confirmed through positive KOH microscopic examination, and cultures revealed the presence of M. canis and Rhodotorulla. After two months of treatment using ketoconazole lotion and shampoo, there was an improvement in their condition. Tinea capitis is noted to be common among children living in close quarters or within the same family, and while pets, particularly cats and dogs, are a known source of dermatophyte infections, their clinical presentation is not always obvious. Diagnosis can be made through patient history, scalp inspection, and various examinations including KOH and culture.
