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Kerión en niños causado por Trichophyton erinacei

Jingni Liang¹, Rui Li², Jing Zhao¹

¹School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, PR China.

Diagnostic microbiology and infectious disease

|September 1, 2025

Resumen

Una infección por hongos pediátricos causó Kerion celsi en el cuero cabelludo. El tratamiento inmediato con antiinfecciosos y antifúngicos condujo a la curación, aunque se produjeron cicatrices.

Área de la Ciencia:

Dermatología
Micología
Enfermedades infecciosas pediátricas

Sus antecedentes:

Kerion celsi es una infección fúngica inflamatoria del cuero cabelludo, a menudo observada en niños.
Por lo general, se presenta como placas pústulas pantanosas, lo que puede conducir a la cicatrización de la alopecia si no se trata.

Objetivo del estudio:

Para reportar un caso de Kerion celsi causado por Trichophyton erinacei en un paciente pediátrico.
Para resaltar el proceso de diagnóstico y el resultado del tratamiento para esta rara infección por hongos.

Principales métodos:

Presentación clínica de placas dolorosas, edematosas y pústulas en el cuero cabelludo.
El trabajo de diagnóstico incluyó el examen fluorescente de hongos, el cultivo de hongos y la secuenciación de espaciadores transcritos internos (ITS).
El tratamiento consistió en un ciclo de tratamiento antiinfeccioso y antifúngico.

Principales resultados:

El examen fluorescente por hongos fue positivo.
El cultivo de hongos y la secuenciación de ITS identificaron a Trichophyton erinacei como el agente causal.
El paciente recibió 8 semanas de tratamiento, lo que resultó en la curación de lesiones cutáneas con cicatrices.

Conclusiones:

Trichophyton erinacei puede causar Kerion celsi en niños.
El diagnóstico precoz y el tratamiento antifúngico apropiado son cruciales para el manejo de Kerion celsi.
Puede ocurrir una resolución completa con cicatrices residuales.

Palabras clave:

El Itraconazol Kerión celsi Trichophyton erinacei, también conocido como Trichophyton erinacei

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