Clinical analysis of 20 pediatric patients with kerion
10.3760/cma.j.cn114798-20210413-00319
- VernacularTitle:儿童脓癣20例临床分析
- Author:
Xiang LIU
1
;
Nan LU
;
Xingyou TAN
;
Shulan YAO
;
Lili NIU
;
Hailu XIAO
;
Zheng LIN
;
Bin LU
Author Information
1. 济宁医学院附属医院皮肤科 272029
- Keywords:
Tinea capitis;
Child;
Abscess;
Diagnostic errors;
Fluconazole
- From:
Chinese Journal of General Practitioners
2021;20(10):1076-1079
- CountryChina
- Language:Chinese
-
Abstract:
Twenty pediatric patients with kerion were treated in Department of Dermatology, Affiliated Hospital of Jining Medical University from January 2014 to June 2020. The general information, clinical manifestations, laboratory test results, treatment and prognosis were retrospectively analyzed. There were 13 males and 7 females aged from 2 to 10 years. Thirteen patients had a history of contact with animals, 4 had contact with parents with tinea. All patients had alopecia, 6 cases presented with inflammatory mass, 14 presented with abscessus; some patients had regional lymphadenopathy and febrile. Four cases were misdiagnosed as abscesses caused by bacterial infection and underwent incision leading to deep ulcers. A total of 13 fungal strains were isolated, including 4 strains of Microsporum gypseum, 3 strains of Trichophyton rubrum, 2 strains of Microsporum canis, the others were Trichophyton tonsurans and Trichophyton mentagrophytes and Fusarium. All patients were treated with fluconazole, concomitantly with topical antifungals and He-Ne laser, 19 of whom were cured. It is suggested that kerion characterized by inflammatory lesions is likely to be misdiagnosed. Fungal examination can confirm the diagnosis of kerion, and fluconazole is effective for treatment.
