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[Tinea capitis: clinical features and therapeutic alternatives]
Fernando Messina1, Laura Walker1, María de Las Mercedes Romero1
1Unidad Micología, Hospital de Infecciosas Francisco Javier Muñiz, Ciudad Autónoma de Buenos Aires, Argentina.
Revista Argentina De Microbiologia
|February 23, 2021
Summary
This study on tinea capitis found both griseofulvin and terbinafine effective antifungal treatments. While both cleared infections, terbinafine showed slower lesion involution in pediatric patients.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Background:
- Tinea capitis is a common superficial fungal infection affecting the scalp, particularly in children.
- Accurate diagnosis and effective treatment are crucial to prevent spread and complications like kerion Celsi.
- Understanding prevalent etiologic agents and treatment outcomes guides clinical practice.
Purpose of the Study:
- To analyze clinical characteristics, etiologic agents, treatments, and outcomes of tinea capitis cases.
- To compare the efficacy and response rates of griseofulvin and terbinafine treatments.
- To identify factors associated with tinea capitis presentation and severity.
Main Methods:
- A descriptive, observational, cross-sectional study.
- Analysis of 33 tinea capitis cases treated between January 2015 and December 2019.
- Identification of causative fungi and assessment of clinical and mycological responses to oral griseofulvin or terbinafine.
Main Results:
- Microsporum canis was the most frequent etiologic agent (22 cases).
- Suppurative tinea capitis (kerion Celsi) occurred in 10 cases.
- Both griseofulvin (21 cases) and terbinafine (12 cases) achieved good clinical and mycological responses, with complete lesion resolution and negative cultures.
Conclusions:
- Griseofulvin and terbinafine are effective treatments for tinea capitis.
- Terbinafine treatment resulted in slower lesion involution compared to griseofulvin.
- Early diagnosis and appropriate antifungal therapy are essential for successful tinea capitis management.
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