Tinea capitis: no incision nor excision.
Tinea capitis is a fungal infection of the scalp and hair shaft that mainly affects prepubescent children. Its clinical aspects range from a mild noninflammatory infection resembling seborrheic dermatitis to a highly inflammatory swelling reaction (kerion). We report the cases of 2 children who underwent surgical treatment of their kerions under general anesthesia. One lesion had been incised and the other excised. This inappropriate treatment made conservative treatment after surgery more difficult. We recommend that abscesslike lesions on the scalps of children be carefully investigated by surgeons and dermatologists to determine whether they are the result of a dermatophytic infection in order that the appropriate conservative treatment can be initiated.
von Laer Tschudin
Laetitia
L
Department of Pediatric Surgery, University Hospital Center of the Canton of Vaud (CHUV), 1011 Lausanne-CHUV, Switzerland.
Laffitte
Emmanuel
E
Baudraz-Rosselet
Florence
F
Dushi
Gezim
G
Hohlfeld
Judith
J
de Buys Roessingh
Anthony S
AS
D000284:Administration, Oral; D000287:Administration, Topical; D000505:Alopecia / Q000209:etiology; D000935:Antifungal Agents / Q000008:administration & dosage*; D003883:Arthrodermataceae; D002648:Child; D002675:Child, Preschool; D005260:Female; D006118:Griseofulvin / Q000008:administration & dosage; D006801:Humans; D007654:Ketoconazole / Q000008:administration & dosage; D008297:Male; D019300:Medical Errors; D009281:Naphthalenes / Q000008:administration & dosage; D000077291:Terbinafine; D014006:Tinea Capitis / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery*; D014249:Trichophyton
D000935:Antifungal Agents; D009281:Naphthalenes; D006118:Griseofulvin; D000077291:Terbinafine; D007654:Ketoconazole