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KMID : 0670820160210030092
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Korean Journal of Medical Mycology
2016 Volume.21 No. 3 p.92 ~ p.97
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Kerion Celsi Caused by Trichophyton rubrum in an Elderly
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Yun Sang-Youl
Park Min-Woo
Suh Moo-Kyu
Ha Gyoung-Yim
Lee Jong-Im
Choi Jong-Soo
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Abstract
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Kerion celsi is a severe inflammatory type of tinea capitis that presents as a boggy mass studded with broken hairs, oozing purulent material from follicular orifices. This infection is caused most commonly by zoophilic or geophilic pathogens. Trichophyton(T.) rubrum is an anthropophilic dermatophyte that is found all over the world. It has become one of the most important causative agents in tinea unguium and tinea pedis. But, kerion celsi caused by T. rubrum is rare. Kerion celsi is uncommon in adult. We report a case of kerion celsi caused by T. rubrum in a 72-year-old woman. She presented with localized tender erythematous plaques with pustules with oozing purulent material on the frontal scalp. A fungal culture from tissue of the lesions was grown on Sabouraud's dextrose agar and showed typical whitish cottony colonies of T. rubrum. The nucleotide sequence of internal transcribed spacer region for clinical isolate was identical to that of T. rubrum strain UZ1588_14 (GenBank accession number KP326579.1). She was treated with 200 mg of oral itraconazole daily for 3 months. The skin lesions improved 1 month after treatment, and recurrence has not been observed.
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KEYWORD
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Elderly, Kerion celsi, Trichophyton rubrum
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