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[Tinea faciei in a newborn].

C Angelo¹, C De Leo, G Conti

¹VII Divisione Dermatologia Pediatrica, Istituto Dermopatico dell Immacolata, IRCCS, Roma.

Minerva Pediatrica

|April 20, 2001

Summary

Dermatophytosis, a fungal infection, is rare in infants. This case highlights a 2-month-old infant with tinea faciei, successfully treated with miconazole cream.

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Area of Science:

Dermatology
Mycology
Pediatrics

Background:

Dermatophytosis in newborns and infants is considered uncommon.
Tinea capitis is more prevalent than tinea faciei in this age group.

Observation:

A 2-month-old infant presented with facial lesions including erythematous patches, papules, pustules, eyebrow rarefaction, and partial eyelash loss.
Mycological examination confirmed infection with Trichophyton rubrum.
Lesion spread was attributed to prior topical corticosteroid use.

Findings:

The case describes an unusual presentation of tinea faciei in an infant.
Differential diagnoses considered were seborrheic dermatitis, atopic dermatitis with impetigo, candidiasis, and bacterial folliculitis.
Interhuman transmission from a relative was the likely source of infection.

Implications:

This case underscores the importance of considering dermatophytosis in infant facial rashes, even when rare.
Prompt diagnosis and appropriate antifungal treatment are crucial for resolution.
Understanding transmission routes, such as familial contact, aids in prevention.

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