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Majocchi granuloma on a child's face
Nara Frota André1, Mariana Canato, Danielle Arake Zanatta
1Department of Pediatrics, Division of Pediatric Dermatology, Federal University of Paraná Hospital de Clínicas da UFPR, Curitiba, Paraná. nara_frota@yahoo.com.br.
Dermatology Online Journal
|January 25, 2019
Summary
Majocchi granuloma, a rare fungal infection, can occur on the face in children. Terbinafine effectively treated a case in a six-year-old after topical corticosteroids and griseofulvin failed.
Area of Science:
- Dermatology
- Mycology
- Pediatric Infectious Diseases
Background:
- Majocchi granuloma (MG) is a rare fungal infection affecting the dermis and subcutaneous tissue.
- Facial presentation of MG is uncommon, particularly in pediatric cases.
Observation:
- A six-year-old child presented with facial Majocchi granuloma.
- The infection was attributed to Trichophyton mentagrophytes, potentially exacerbated by prolonged topical corticosteroid use and inadequate topical treatments.
- Initial treatment with griseofulvin (25 mg/kg/day for 35 days) was unsuccessful.
Findings:
- Successful treatment of facial Majocchi granuloma was achieved with oral terbinafine.
- This case highlights the challenges in treating pediatric fungal infections, especially when misdiagnosed or inadequately treated initially.
Implications:
- Terbinafine should be considered a viable treatment option for recalcitrant pediatric Majocchi granuloma.
- Awareness of atypical presentations and predisposing factors like topical steroid misuse is crucial for timely diagnosis and effective management of fungal skin infections in children.