Presentation
We here report a 66-year-old woman presenting with kerion of the scalp. [ijdvl.com]
A 13-year-old girl presented with a slowly enlarging, painful swelling of the scalp. She had received several courses of empirical oral antibiotics, without improvement. [doi.org]
We concluded that tinea capitis should remain in the differential diagnosis of elderly patients with alopecia and pyoderma like presentations and culture test should be routinely done in such patients to avoid complications. [idoj.in]
A 9-year-old boy (Patient 1) with no past medical history presented to the pediatric emergency department with a 1-month history of tender erythematous lesions on his scalp. [ncbi.nlm.nih.gov]
Entire Body System
- Swelling
A 13-year-old girl presented with a slowly enlarging, painful swelling of the scalp. She had received several courses of empirical oral antibiotics, without improvement. [doi.org]
A 13-year-old girl presented with a slowly enlarging, painful swelling of the scalp that had first been noticed 3 weeks earlier. [nejm.org]
[G. kērion, honeycomb; a skin disease, fr. kēros, beeswax] kerion A localized boggy swelling on the scalp with oozing of pus and serum from the hair follicles. [medical-dictionary.thefreedictionary.com]
Case Report A one-month-old female infant with uneventful birth history was noticed to have scalp swelling of 5 days duration. [ijpd.in]
- Fever
Lymph and fever symptoms may be present. [en.wikipedia.org]
A kerion appears as an inflamed, thickened, pus-filled area, and it is sometimes accompanied by a fever. [skinsight.com]
She had been systemically well with no fever or other skin lesions. Figure 1 Weeping, pustular scalp lesion at presentation. [adc.bmj.com]
- Lymphadenopathy
It is characterized by a suppurative, tender swelling that is often associated with regional lymphadenopathy and can be mistaken for bacterial folliculitis. [nejm.org]
Lesions can be associated with regional lymphadenopathy. [orpha.net]
- Surgical Procedure
The most recent advances require corresponding evolution of diagnostic and treatment strategies of kerion in order to provide the suitable laboratory testing and antifungal therapy and to prevent the unnecessary surgical procedures. abstract No: Full [aspergillus.org.uk]
- Candidiasis
This review covers infections commonly seen in the pediatric age group like the dermatophytic infections,pityriasis versicolor and candidiasis including their management aspects. [ijpd.in]
[…] barbae and tinea capitis B35.5 Tinea imbricata B35.8 Other dermatophytoses B35.9 Dermatophytosis, unspecified B36 Other superficial mycoses B36.0 Pityriasis versicolor B36.8 Other specified superficial mycoses B36.9 Superficial mycosis, unspecified B37 Candidiasis [icd10data.com]
Respiratoric
- Rhinitis
Mycotic rhinitis caused by Scedosporium apiospermum in a dog: first report in Italy La malattia valvolare mitralica cronica nel cane Test differenziali per la valutazione dell'iperadrenocorticismo nel cane e nel gatto Test di screening per la diagnosi [veterinaria.scivac.org]
Experience with 6 cases]. ( 8657953 ) Zaror L...Navarrete M 1995 36 The association of perennial rhinitis with Trichophyton infection. ( 1611549 ) Kivity S...Fireman E 1992 37 Tinea of the eyebrow showing kerion celsi reaction: report of one case. ( 1657533 [malacards.org]
Skin
- Alopecia
A delay in diagnosis and treatment can result in scarring alopecia. This patient was treated with griseofulvin for 6 weeks and showed marked improvement, with regression of the lesion (Panel B). [nejm.org]
It is characterized by one or more large, tender boggy masses with erythema, pustules, crusting, and alopecia. Such a mass is called a kerion. Lymphadenopathy is frequent. [dermis.net]
There was complete clearance of lesions with some residual scaring alopecia [Figure 3]. [idoj.in]
Abstract A 28-month-old boy developed a cutaneous and subcutaneous lesion of the scalp together with alopecia. Treatment with sulfadiazine silver ointment and oral administration of cefaclor failed. [ncbi.nlm.nih.gov]
- Papule
These were non-indurated, studded with papules and pustules, mildly tender and showed scaling. Alopecia was seen in and around the plaques. The few hairs which were present were dull, matted and easily pluckable. [ijdvl.com]
The border of the lesion may contain follicular papules, pustules, or vesicles. The intensity of itching is variable. The disease is more common in tropical climates and can occur at any age. [aibolita.com]
- Erythema
N 2013 15 Childhood erythema nodosum associated with kerion celsi: a case report and review of literature. ( 21692840 ) Zaraa I...Osman AB 2012 16 Accidental Trichophyton mentagrophytes fungemia during the course of kerion celsi. ( 21819454 ) Rojat P. [malacards.org]
It is characterized by one or more large, tender boggy masses with erythema, pustules, crusting, and alopecia. Such a mass is called a kerion. Lymphadenopathy is frequent. [dermis.net]
[…] of children and adults, associated with excessive heat and humidity; scaly red annular plaques (ringworm) Tinea cruris: "jock itch", infection of inguinal area of obese men during warm weather Tinea pedis: "athletes foot", infection causing diffuse erythema [pathologyoutlines.com]
Trichophyton sulfureum causing erythema nodosum and multiple kerion formation. Arch Dermatol Syphil 1952;65:95-97. [keratin.com]
- Pruritus
Unspecified infectious disease 2016 2017 2018 2019 Billable/Specific Code fungus NOS B49 ICD-10-CM Diagnosis Code B49 Unspecified mycosis 2016 2017 2018 2019 Billable/Specific Code Applicable To Fungemia NOS beard B35.0 scalp B35.0 Itch, itching - see also Pruritus [icd10data.com]
Lesions are often associated with pruritus and/or a burning sensation. [clinicaladvisor.com]
In patients with pruritus, antihistamines can provide some relief and prevent spreading from scratching. Patient Management Household members that may be carriers should be treated (at a minimum) with selenium sulfide or ketoconazole shampoo. [dermatologyadvisor.com]
Pruritus usually is minimal but may be intense at times. Alopecia is common in infected areas. Inflammation may be mild or severe. [emedicine.medscape.com]
- Hyperkeratosis
Lesions can undergo cycles of… Talon noire (Black heel, calcaneal petechiae, runner’s heel, basketball heel, tennis heel, hyperkeratosis hemorrhagica, pseudochromhidrosis plantaris, chromidrose plantaire, eccrine intracornee, post-traumatic punctuate [thecardiologyadvisor.com]
Workup
Microbiology
- Microsporum
Keywords: Kerion, Microsporum gypseum, neonate How to cite this article: Ambooken B, Binitha MP, Chandran B. Kerion due to microsporum gypseum in a 1-month-old infant. Int J Trichol 2013;5:214-6 Kerion is extremely rare in the neonatal period. [ijtrichology.com]
- Trichophyton Tonsurans
1 Molecular diagnosis of kerion celsi caused by Trichophyton tonsurans in a Italian child. ( 31080711 ) 2019 2 Kerion celsi caused by Trichophyton tonsurans in a child. ( 29976531 ) Lapergola G...Giannini C 2018 3 Kerion Celsi with erythematous tumefaction [malacards.org]
Key words: Kerion Celsi; Complication; Tinea capitis; Trichophyton tonsurans. (source: MeSH NLM) DOI: https://doi.org/10.25176/RFMH.v18.n1.1272 Downloads Download data is not yet available. [revistas.urp.edu.pe]
Tinea corporis due to Trichophyton mentagrophytes and Trichophyton tonsurans mimicking tinea imbricata. Indian J Dermatol Venereol Leprol 2013;79:554 How to cite this URL: Rao AG, Datta N. [ijdvl.com]
A scalp specimen was collected for mycological examination and, after 5 days in Sabouraud agar, Trichophyton tonsurans was isolated. [thelancet.com]
- Trichophyton Mentagrophytes
Kerion is most commonly caused by the zoophilic dermatophytes Trichophyton verrucosum and Trichophyton mentagrophytes. Treatment with oral griseofulvin is often used, although other antifungal agents may also be effective. [nejm.org]
In our case, it was Trichophyton mentagrophyte var. mentagrophyte. Spread usually occurs from an infected family member or indirectly from pet animals. [ijpd.in]
Trichophyton mentagrophytes Trichophyton mentagrophytes (also referred to as Trichophyton interdigitale) is a species of fungus affecting both animals and humans alike. [quiplabs.com]
Wood's lamp (blacklight) examination will reveal a bright green to yellow-green fluorescence of hairs infected by Trichophyton mentagrophytes var. [en.wikipedia.org]
- Candida
Also, an effective electronic fungal fighter is our Candida Zapper. These products are available from our Virtual Store. Our liberal Money Back Guarantee applies. [altcancer.net]
( 1611549 ) Kivity S...Fireman E 1992 37 Tinea of the eyebrow showing kerion celsi reaction: report of one case. ( 1657533 ) Hiruma M...Kukita A 1991 38 Surgical and ketoconazole treatment of a Kerion Celsi caused by Trichophyton mentagrophytes and Candida [malacards.org]
The laboratory diagnosis of dermatophytosis complicated with Candida albicans. Can J Microbiol 20 : 167 – 182. 64. Taplin D ,, Zaias N ,, Rebell G ,, Blank H. 1969. Isolation and recognition of dermatophytes on a new medium (DTM). [asmscience.org]
Treatment
Kerion treatment Early initiation of treatment is extremely important with kerions. The sooner treatment is started the less likely the kerion will promote a permanent scarring alopecia. [keratin.com]
Treatment with oral griseofulvin is often used, although other antifungal agents may also be effective. A delay in diagnosis and treatment can result in scarring alopecia. [nejm.org]
The scalp of Patient 1, 1 month after treatment. The hair of Patient 1 grew back 4 month after treatment. Tinea capitis is an infection of the scalp hair caused by dermatophyte fungi such as Trichophyton spp. and Microsporum spp. [1]. [ncbi.nlm.nih.gov]
Treatment with oral griseofulvin common. There may be loss of hair as hair will come out easily. Sometimes, there is growth of organisms. Lymph and fever symptoms may be present. [en.wikipedia.org]
An occasional lesion requires additional treatment to one or two small areas two weeks after the [jamanetwork.com]
Prognosis
LC often has rapid disease progression and poor prognosis. The mean interval between diagnosis of LC and death was reported as 3.8 and 4.8 months respectively in different studies [ 13, 14 ]. The interval time was 2 months for our patient. [clinical-pediatrics-dermatology.imedpub.com]
Diagnosis, treatment, and prognosis We had established that the etiologic agent was M. gypseum based on morphologic features, biochemical test results and molecular methods. [academic.oup.com]
Etiology
Moreover, the new or previously very sporadic etiologic agents causing kerion have been recently observed in Croatia, such as T. tonsurans, mostly in wrestlers, so far. [aspergillus.org.uk]
Topical application of naftifine-ketoconazole cream after use of ketoconazole shampoo was used to wash out and kill the etiologic agent on the surface of the hair. [mmy.oxfordjournals.org]
Tinea pedis, or athlete's foot, is the most common dermatophyte infection Its etiology is closely tied to the use of occlusive footwear.12 Most commonly, tinea. Synonyms for tinea profunda in Free Thesaurus. [amunisocyxekyhero.xpg.uol.com.br]
Epidemiology
“Updates on the epidemiology of dermatophyte infections”. Mycopathologia.. vol. 166. 2008. pp. 335-52. (Highlights the change in epidemiology of dermatophyte species over the last 100 years. [dermatologyadvisor.com]
Updates on the epidemiology of dermatophyte infections. Mycopathologia. 2008 Nov-Dec. 166(5-6):335-52. [Medline]. Kondo M, Nakano N, Shiraki Y, Hiruma M, Ikeda S, Sugita T. [emedicine.medscape.com]
What you should be alert for in the history Chancroid should be suspected in any patient who presents with a painful genital ulcer, especially with a congruent sexual history and in the proper epidemiologic setting (more commonly seen in Africa and elsewhere [renalandurologynews.com]
Genital white piedra: epidemiology, microbiology, and therapy. J Am Acad Dermatol 14 : 982 – 993. 135. Douchet C ,, Thérizol-Ferly M ,, Kombila M ,, Duong TH ,, Gomez de Diaz M ,, Barrabes A ,, Richard-Lenoble D. 1994. [asmscience.org]
Pathophysiology
These increase in size and become crusted over, so that the characteristic lesion can only be seen around the edge of the scab. [5] Pathophysiology [ edit ] From the site of inoculation, the fungus grows down into the stratum corneum, where it invades [en.wikipedia.org]
Prevention
Combs and hairbrushes should be disinfected or discarded to prevent transmission of infection or re-infection. As the fungus causing the kerion (e.g. [dermnetnz.org]
The most recent advances require corresponding evolution of diagnostic and treatment strategies of kerion in order to provide the suitable laboratory testing and antifungal therapy and to prevent the unnecessary surgical procedures. abstract No: Full [aspergillus.org.uk]