title: Two unusual pediatric cases of fungal infections in farming families.
abstract: It is not known whether farming families have more cases of uncommon fungal infections than the general population because of their interdependence on farming environments, including farm animals and other pets. The authors describe here two cases of fungal infections with interesting epidemiology that suggest associations that have been insufficiently described and explored in the literature. The first is a case of otomycosis in a 17-year-old female and is suspected to be linked to hay baling. The second is a case of tinea capitis in a 25-month-old female toddler living on a farm and illustrates that rural farming families with closer association with animals are infected with different species of fungi than are seen in urban areas.
authors.affiliation: Department of Internal Medicine and Pediatrics, Marshfield Clinic, Marshfield, Wisconsin, USA. aswani.vijay@marshfieldclinic.org
authors.forename: Vijay
authors.initials: V
authors.lastname: Aswani
authors.forename: Sanjay K
authors.initials: SK
authors.lastname: ShuKla
mesh_terms: D000293:Adolescent; D000382:Agricultural Workers' Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D000935:Antifungal Agents / Q000008:administration & dosage; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D001234:Aspergillus niger / Q000302:isolation & purification; D002675:Child, Preschool; D005260:Female; D006118:Griseofulvin / Q000627:therapeutic use; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage; D008864:Microsporum / Q000302:isolation & purification; D014006:Tinea Capitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D006118:Griseofulvin