The Likelihood of Resistant Tinea Capitis Caused by Hortaea Werneckii: A Case Report

This case study illustrates a 24-year-old Chinese man who presented with tinea capitis associated with a fungal infection. He was administered a therapeutic regimen consisting of terbinafine, ketoconazole cream, and miconazole shampoo for 2 months. However, the symptoms recurred 3 months after the treatment ended. Fungal culture and sequencing confirmed the infection of Hortaea werneckii. Drug sensitivity testing showed that the infecting strain of the patient remained sensitive to the five commonly used antifungal drugs in vitro. While most cases infected by Hortaea werneckii present with Tinea nigra, the possibility of Hortaea werneckii infection should be considered in patients with tinea capitis living in coastal cities.