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[Tinea capitis in an adult. Case report]
Diana Morán Maese1, Víctor M Tarango-Martínez, Luis A González Treviño
1Instituto Dermatológico de Jalisco Dr. José Barba Rubio, Centro Estatal de Referencia en Micología Médica (CEREMI), Guadalajara, Jalisco, Mexico.
Revista Iberoamericana De Micologia
|April 9, 2005
Summary
This case study details a fungal infection affecting the face and scalp in an elderly woman with type 2 diabetes. It highlights successful treatment with itraconazole, leading to a full recovery.
Area of Science:
- Dermatology
- Mycology
- Internal Medicine
Background:
- Fungal infections like tinea capitis and tinea faciei can present unique challenges in immunocompromised patients.
- Elderly patients with comorbidities such as type 2 diabetes mellitus may experience atypical presentations and treatment responses.
Observation:
- An elderly female patient with type 2 diabetes mellitus presented with a dermatological condition initially affecting her face and subsequently spreading to her scalp.
- The patient's condition worsened with multiple prior medication attempts.
- Diagnosis was confirmed via direct microscopy and fungal culture, identifying Trichophyton tonsurans.
Findings:
- The patient was treated with a daily dose of 200 mg of itraconazole for two months.
- This therapeutic regimen resulted in complete clinical and mycological resolution of the fungal infection.
Implications:
- This case underscores the importance of accurate diagnosis and targeted antifungal therapy in managing complex dermatophyte infections in elderly patients with diabetes.
- Itraconazole demonstrates efficacy in treating recalcitrant tinea infections, even in patients with underlying health conditions.
- Effective management can prevent disease dissemination and improve patient quality of life.