Kerion and dermatophytic granuloma. Mycological and histopathological findings in 19 children with inflammatory tinea capitis of the scalp

Arenas, Roberto; Toussaint, Sonia; Isa-Isa, Rafael

doi:10.1111/j.1365-4632.2004.02449.x

Cited by 55 publications

(52 citation statements)

References 3 publications

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“…Beirana and Novales in 1959 [4] described the first case of MG in Mexico; since then, several cases have been described by different authors [5,6].…”

Section: Historical Backgroundmentioning

confidence: 99%

“…Other fungi associated with MG include Trichophyton mentagrophytes [12], T. violaceum (reported in Europe, affecting scalp) [11••], Trichophyton tonsurans (reported in Latinos, also affecting scalp) [6,13,14], Trichophyton verrucosum [15], Trichophyton schoenleinii, Microsporum canis [6,16], Microsporum audouinii [7], Microsporum gypseum [6,7], Microsporum ferrugineum [7], Epidermophyton floccosum [17], and a yeast-like fungus Trichosporon cutaneum (formerly Trichosporon beigelii) [18,19]; in glabrous skin, the etiology is similar worldwide: T. rubrum (85 %) and T. mentagrophytes var. mentagrophytes (10 %).…”

Section: Etiologic Agentsmentioning

confidence: 99%

“…It predominates on female in a ratio of 3:1; this can be explained on the basis of women are more susceptible to develop tinea capitis after puberty, and in cases of hairless skin, it can be explained because they frequently shave their legs. When MG presents in men, it is common to associate with immunosuppression [3,5,6,22].…”

Section: Etiologic Agentsmentioning

confidence: 99%

See 2 more Smart Citations

Majocchi’s Granuloma (Dermatophytic Granuloma): Updated Therapeutic Options

Tirado‐Sánchez

Ponce-Olivera

Bonifáz

2015

Curr Fungal Infect Rep

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Majocchi's granuloma (MG) is a rare, well-recognized, deep skin infection caused by dermatophyte, which can be seen in immunosuppressed as well as immunocompetent individuals. It is primarily caused by dermatophytes, most commonly Trichophyton rubrum; however, occasionally other Trichophyton sp., Trichosporon sp., Aspergillus sp., and Phoma sp. are involved. Diagnosis is based on clinical, mycological, and histological characteristics. This review focuses on clinical characteristics of MG and diagnosis and therapeutic options of MG.

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“…Beirana and Novales in 1959 [4] described the first case of MG in Mexico; since then, several cases have been described by different authors [5,6].…”

Section: Historical Backgroundmentioning

confidence: 99%

Section: Etiologic Agentsmentioning

confidence: 99%

See 1 more Smart Citation

Majocchi’s Granuloma (Dermatophytic Granuloma): Updated Therapeutic Options

Tirado‐Sánchez

Ponce-Olivera

Bonifáz

2015

Curr Fungal Infect Rep

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“…Compared to other dermatophyte species, T. mentagrophytes var. erinacei causes well-circumscribed, severe suppurative inflammation with follicular pustules known as kerion (Arenas et al 2006;Menelaos 2006;Nenoff et al 2014;Sidwell et al 2014). Kerion also resembles a suppurative, moist and painful boggy lesion as the result of advanced disease caused by the dermatophyte organism (Miletta et al 2014).…”

Section: Discussionmentioning

confidence: 99%

Dermatophytosis caused by Trichophyton mentagrophytes var. erinacei in a dog: a case report

Kurtdede¹,

Haydardedeoğlu²,

Alihosseini³

et al. 2014

Vet. Med. - Czech

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Trichophyton mentagrophytes var. erinacei is rarely isolated from dogs with dermatophytosis. It is a zoophilic dermatophyte transmitted by hedgehogs and, in contrast to other dermatophyte species, is characterised by a severe suppurative and inflammatory response known as kerion. A 5-year-old male mongrel dog was referred to the Veterinary Teaching Hospital with a 2-week history of a localised pruritic and suppurative alopecic lesion on the scrotum. Routine blood tests, peripheral blood smears, multiple skin scrapings and bacteriological culture did not reveal any abnormalities. However, Trichophyton mentagrophytes var. erinacei was isolated from a fungal culture. The presence of hedgehogs around the daily walking areas of the dog suggested the possibility of direct or indirect contact of the dog with hedgehogs. Fungicidal treatment was implemented with oral itraconazole (5 mg/kg once daily) and topical application of clotrimazole (twice daily) for a month. The scrotal lesion healed completely and hair grew back within a month. No recurrence occurred during a 4 month follow-up. T. mentagrophytes var. erinacei should be included in the differential diagnosis of suppurative scrotal skin lesions of dogs, which have come into possible contact with hedgehogs.

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“…Unlike inflammatory tinea or kerion, which result from a hypersensitivity reaction to an infection induced by dermatophytes, MG usually starts as a suppurative folliculitis that may terminate in a granulomatous reaction [3]. …”

Section: Discussionmentioning

confidence: 99%

Pubic Majocchi's Granuloma Unresponsive to Itraconazole Successfully Treated with Oral Terbinafine

Rallis

Katoulis

Rigopoulos

2015

Skin Appendage Disord

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Majocchi's granuloma (MG) is an uncommon deep fungal infection. It is usually caused by Trichophyton rubrum and may develop in any hair-bearing skin, commonly on the face and the extremities. We present a 27-year-old female with MG of the pubic area treated unsuccessfully with itraconazole capsule 100 mg for 4 weeks. The medication was discontinued and switched to terbinafine, which proved efficacious. The pubic tinea clinically presented in conjunction with fever, lymphadenopathy, inflammatory plaques, follicular lesions and subcutaneous nodules. It was considered that the fungal infection was initially transmitted from skin to skin during sexual practices with her husband. The repeated shaving of her pubic area, the misdiagnosis as bacterial infection and the use of topical corticosteroid on a preexistent tinea probably predisposed the patient to MG.

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Kerion and dermatophytic granuloma. Mycological and histopathological findings in 19 children with inflammatory tinea capitis of the scalp

Cited by 55 publications

References 3 publications

Majocchi’s Granuloma (Dermatophytic Granuloma): Updated Therapeutic Options

Majocchi’s Granuloma (Dermatophytic Granuloma): Updated Therapeutic Options

Dermatophytosis caused by Trichophyton mentagrophytes var. erinacei in a dog: a case report

Pubic Majocchi's Granuloma Unresponsive to Itraconazole Successfully Treated with Oral Terbinafine

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