A Case of Kerion Celsi in an Adult Caused by Trichophyton mentagrophytes Probably Transmitted from Rabbit
Abstract
Kerion celsi is a severe inflammatory type of tinea capitis that presents as an inflammatory, boggy plaque studded with broken hairs. It usually occurrs in children between the age of 4 and 14 years which is caused by zoophilic pathogens such as Microsporum(M.) canis, Trichophyton(T.) mentagrophytes, and T. verrucosum. Recently various mammals have become a pet in Korea and there has been increase in reports of dermatophytosis transmitted from these pets sporadically. We report a case of kerion celsi caused by T. mentagrophytes probably transmitted from rabbit in a 34-year-old adult male patient. The patient had localized, tender to mild pruritic, erythematous plaque with pustular nodules and irregular hair loss on the right temporal scalp for 2 months. Culture from a scalp lesion of patient on Sabouraud's dextrose agar showed typical T. mentagrophytes. He was treated with 250 mg of terbinafine daily for 12 weeks and short term therapy of low dose of prednisolone. He was cured without recurrence.
Keywords
Kerion celsi Rabbit Trichophyton mentagrophytes
KJMM
2011 September;16(3):99-104(6). Epub 2016 February 17
Copyright © 2011 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Sung Min Hwang; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Dong Min Kim; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Myung Hoon Lee; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Moo Kyu Suh; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Gyoung Yim Ha; Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
Jong Im Lee; Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea
Corresponding
Moo Kyu Suh, Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea. Tel: (054) 770-8268, Fax: (054) 773-1581, e-mail: smg@dongguk.ac.kr
Publication history
Received 10 March 2011;
Revised 9 May 2011;
Accepted 9 May 2011.
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Sung Min Hwang
Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Dong Min Kim
Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Myung Hoon Lee
Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Moo Kyu Suh
Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Gyoung Yim Ha
Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
Jong Im Lee
Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea
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Since epub date 2016 February 17