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Kerion due to microsporum gypseum in a 1-month-old infant
Betsy Ambooken1, Manikoth Payyanadan Binitha1, Bini Chandran2
1Department of Dermatology and Venereology, Government Medical College, Kozhikode, India.
Abstract:
Microsporum gypseum is a rare cause of kerion in infancy. Light microscopy, fluorescent microscopy and fungal culture of the infected hair aids in early and correct diagnosis. Griseofulvin is the drug of choice for ectothrix fungi. We report a case of neonatal kerion caused by M. gypseum occurring at the age of 1 month, successfully treated with griseofulvin.
Insights
A rare fungal infection, Microsporum gypseum, caused a neonatal kerion in a 1-month-old infant. Early diagnosis via microscopy and culture, followed by griseofulvin treatment, led to a successful recovery.
Area of Science:
- Dermatology
- Mycology
- Pediatrics
Background:
- Kerion, a boggy inflammation of the scalp, is typically caused by dermatophytes.
- Microsporum gypseum is an uncommon etiological agent for kerion, especially in neonates.
Observation:
- A 1-month-old infant presented with clinical signs suggestive of kerion.
- Microscopic examination and fungal culture of affected hair confirmed the presence of Microsporum gypseum.
Findings:
- The diagnosis of neonatal kerion caused by Microsporum gypseum was established.
- The infant was successfully treated with griseofulvin, the recommended antifungal for ectothrix infections.
Implications:
- This case highlights the importance of considering rare fungal pathogens in infantile scalp infections.
- Prompt diagnosis and appropriate antifungal therapy, such as griseofulvin, are crucial for managing neonatal kerion effectively.
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