Arthroderma benhamiae as a Causative Agent of Tinea Capitis Profunda nad Tinea Corporis in Children
Authors:
N. Mallátová 1; H. Janatová 2; K. Kocourková 1; V. Hubka 4,5; S. Dobiášová 6; P. Širůček 7; J. Nováková 8; K. Šimečková 9
Authors‘ workplace:
Pracoviště parazitologie a mykologie, Centrální laboratoře Nemocnice České Budějovice a. s.
ředitel nemocnice MUDr. Břetislav Shon
1; Kožní oddělení, Nemocnice České Budějovice a. s.
ředitel nemocnice MUDr. Břetislav Shon
2; Dětské oddělení, Nemocnice České Budějovice a. s.
ředitel nemocnice MUDr. Břetislav Shon
3; Katedra botaniky, Přírodovědecká fakulta, Univerzita Karlova v Praze
vedoucí katedry doc. RNDr. Yvonne Němcová, Ph. D.
4; Laboratoř genetiky a metabolismu hub, Mikrobiologický ústav, Akademie věd České republiky, v. v. i., Praha
vedoucí Mgr. Miroslav Kolařík, Ph. D.
5; Oddělení bakteriologie a mykologie, Centrum klinických laboratoří, Zdravotní ústav se sídlem v Ostravě
vedoucí oddělení RNDr. Vladislav Holec
6; Klinika infekčního lékařství, Fakultní nemocnice Ostrava
přednosta kliniky doc. MUDr. Luděk Rožnovský, CSc.
7; Kožní oddělení, Fakultní nemocnice Ostrava
primářka MUDr. Yvetta Vantuchová, Ph. D.
8; Dermatovenerologická ambulance, s. r. o., Hlučín
9
Published in:
Čes-slov Derm, 89, 2014, No. 4, p. 199-204
Category:
Case Reports
Overview
Tinea capitis and tinea corporis are dermatophytoses mostly appearing in childhood. Depending on the type of causative dermatophyte they might present as a superficial mycosis or a deep infection with a serious inflammatory reaction. Microsporum canis is the most common pathogen in our climate. Tinea capitis is treated by systemic antifungals, mostly terbinafine and intraconazole, tinea corporis requires local or systemic treatment according to the disease extent. We present three children with tinea capitis and corporis caused by an atypical dermatophyte Arthroderma benhamiae, spreading from an infected guinea pig. The first case manifested as a strong inflammatory lesion on the scalp of a ten-year old girl with systemic symptoms. Systemic terbinafine therapy failed. The second case describes infection in two siblings successfully treated by combination of systemic terbinafine and local therapy. The former systemic therapy of tinea capitis by fluconazole and local ciclopirox olamine treatment was not successful in one of the siblings.
Key words:
tinea capitis – tinea corporis – zoofilic dermatophytes – Arthroderma benhamiae – guinea pig – fluconazole – terbinafine – posaconazole
Sources
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Labels
Dermatology & STDs Paediatric dermatology & STDsArticle was published in
Czech-Slovak Dermatology
2014 Issue 4
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