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[Kerion Celsi. A diagnostic problem? Experience with 6 cases]

L Zaror1, M Hering, M I Moreno

  • 1Instituto de Microbiología Clínica, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.

Revista Medica De Chile
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Kerion Celsi, a fungal infection, is often misdiagnosed as a bacterial abscess in children. Early microbiological tests can prevent misdiagnosis, unnecessary hospitalizations, and permanent hair loss.

Area of Science:

  • Dermatology
  • Mycology
  • Pediatrics

Background:

  • Kerion Celsi is a severe fungal infection of the scalp.
  • It is caused by zoophilic dermatophytes, most commonly Trichophyton verrucosum.
  • The infection presents with a highly inflammatory and suppurative nature.

Observation:

  • Six pediatric patients with Kerion Celsi were reported.
  • Five patients were initially hospitalized and treated for Staphylococcal abscess.
  • Misdiagnosis occurred due to the infection's severe inflammatory presentation.

Findings:

  • Trichophyton verrucosum is the causative agent of Kerion Celsi.
  • Griseofulvin is the recommended antimicrobial treatment.
  • Adjunctive therapies include imidazolics and corticosteroids to prevent alopecia.

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Implications:

  • Simple microbiological diagnostic tests are crucial for accurate diagnosis of scalp infections in children.
  • Early and correct diagnosis can prevent unnecessary hospitalizations.
  • Prompt treatment can prevent permanent hair loss (alopecia).