Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton Violaceum: A Diagnostic or Therapeutic Challenge

The document describes a case of tinea capitis in a seven-year-old boy caused by Trichophyton violaceum, which presented a diagnostic or therapeutic challenge due to the appearance of both white and violet strains of the fungus. Initially, the boy was treated with Griseofulvin and showed white scaly patches of alopecia. After six weeks, a violet strain was detected, indicating a possible mixed or consecutive infection. A subsequent six-week treatment with Griseofulvin and Ketoconazole shampoo led to clinical improvement. The case underscores the necessity of thorough sample collection, confirmation of mycological cure, family member screening, and hygiene to prevent infection spread. This is the first reported instance of two variants of T. violaceum in a single tinea capitis case.