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Favus in a non-endemic area.
L K Gupta1, B L Masuria, A Mittal
1Department of Dermato-Venereo Leprology, RNT Medical College, Udaipur, India.
This report details a rare case of scalp favus, a fungal infection, in a 60-year-old woman from a non-endemic region. The infection also affected her nails, caused by Trichophyton violaceum.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Background:
- Favus, a chronic fungal infection of the scalp, is characterized by scutula formation.
- While endemic in some regions, its occurrence in non-endemic areas is infrequent.
Purpose of the Study:
- To report a rare case of favus of the scalp and nails in a patient from a non-endemic zone.
- To highlight the etiological agent, Trichophyton violaceum, in this unusual presentation.
Main Methods:
- Clinical case presentation of a 60-year-old female with suspected favus.
- Microscopic examination of scalp and nail samples using Potassium Hydroxide (KOH) preparation.
- Fungal culture on Sabouraud's agar medium for species identification.
Main Results:
- KOH examination revealed fungal hyphae in both scalp and nail scrapings.
- Culture on Sabouraud's agar confirmed the presence of Trichophyton violaceum.
- The patient, residing in a non-endemic district of Rajasthan, presented with typical favus lesions on the scalp and nail involvement.
Conclusions:
- This case underscores the possibility of favus occurring outside its typical endemic zones.
- Trichophyton violaceum remains a significant etiological agent for favus, even in atypical geographical locations.
- Prompt diagnosis and treatment are crucial for managing favus, especially when it presents with unusual patterns or in non-endemic settings.
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