[Protracted case of kerion Celsi in otherwise healthy seven year-old girl]

An otherwise healthy seven year-old girl was admitted to a dermatological department with a severe and progressive scalp infection that had been treated unsuccessfully with conventional antibiotics for over 14 days as well as with surgery. Examination revealed severe tinea capitis with clinical presentation of kerion Celsi, which ultimately resolved with oral antifungals over eight weeks, leaving the patient with a sizeable patch with cicatrical alopecia. The importance of early diagnosis is discussed as are various treatment modalities.