Kerion celsi – a case report

Authors

  • Barbara Anahory Interna do 2.o ano de Medicina Geral e Familiar, Unidade de Saúde de Ilha de São Miguel, Ponta Delgada, Açores
  • Patrícia Santos Diretora do Serviço de Dermatologia, Hospital do Divino Espírito Santo, E.P.E., Ponta Delgada, Açores
  • Marta Borges Assistente de Medicina Geral e Familiar, Unidade de Saúde de Ilha de São Miguel, Ponta Delgada, Açores

DOI:

https://doi.org/10.32385/rpmgf.v29i6.11200

Keywords:

Tinea capitis, Kerion celsi, Alopecia

Abstract

Introduction: Tinea capitis is the most common form of ringworm infection in childhood. It can have various clinical presentations, ranging from non-inflammatory scaling to a severe pustular rash called Kerion celsi. This may heal with scarring alopecia, but it can be avoided if there is timely diagnosis and treatment of the disease. Case description: A 12 year-old Caucasian male with no significant past medical history was seen in November 2011 in the emergency department of his local health centre. He had suppurative scaling of the scalp in the left occipito-parietal region, of five centimeters in diameter. It was painful and had been present for five months. A diagnosis of a scalp abscess was made. He was treated with systemic antibiotics. Due to progressive worsening of the lesion, in December 2011 he went to the emergency department of a local hospital, where a dermatology consultation was requested. He was diagnosed with Kerion celsi, and treatment with terbinafine (125 mg/day) and ketoconazole shampoo was started. The child was treated for three months with cure of the fungal infection, but scarring alopecia remained. Comment: Early recognition of this lesion permits proper treatment in order to prevent scarring alopecia.

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Published

2013-11-01

Issue

Vol. 29 No. 6 (2013): Revista Portuguesa de Medicina Geral e Familiar

Section

Case Reports

License

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How to Cite

Kerion celsi – a case report. (2013). Portuguese Journal of Family Medicine and General Practice, 29(6), 394-7. https://doi.org/10.32385/rpmgf.v29i6.11200

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