Kerion Celsi caused by Microsporum gypseum in a Chinese child, a case report. Issue 13 (1st April 2022)

• Record Type: Journal Article
• Authors: Wei, Shuyue; Wang, Haiying; Li, Ailan; Yuan, Chunying
• Editors: Saranathan, Maya
• Is Part Of: Medicine. Volume 101:Issue 13(2022)
• Page Start: e28936
• Publication Date: 2022-04-01
• Subjects: case report -- guinea pig -- kerion Celsi -- M gypseum -- tinea capitis; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000028936
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Kerion Celsi, a severe form of tinea capitis, is generally caused by zoophilic and geophilic fungi. This is the first report of an unusual case of kerion Celsi caused by Microsporum gypseum in a 6-year-old boy. Patient concerns: A 6-year-old boy presented to the dermatology clinic with the complaint of multiple pustules, edematous plaques over the scalp with hair loss for 1 month. Diagnosis: Clinical and laboratory investigations, including reverse transcriptase-quantitative polymerase chain reaction, confirmed M gypseum causing kerion Celsi. Interventions: Upon combination therapy using oral itraconazole and oral prednisolone along with the topical terbinafine, kerion Celsi remitted in the patient. Outcome: New hair growth was noted during the 4-month follow-up. Lesson: We presented the first case of kerion Celsi infection secondary to M gypseum that was probably transmitted from a guinea pig.