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一名儿科患者的断发毛癣菌所致头癣

[Tinea capitis by Trichophyton tonsurans in a pediatric patient].

作者信息

Vides De La Hoz Patricia, Piccolomini Melina, Almassio Aldana, Abad Eugenia, Larralde Margarita

机构信息

Sector Dermatología Pediátrica, Hospital Gral. de Agudos J.M. Ramos Mejía, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2022 Aug;120(4):e192-e196. doi: 10.5546/aap.2022.e192. Epub 2022 Jun 7.

Abstract

Tinea capitis (TC) is a superficial mycosis of the scalp, considered one of the most common dermatophyte infections in children. Until now, the species mainly described in our environment are Microsporum and secondly Trichophyton, which are contracted mainly by direct contact with infected animals or humans, respectively. We present the case of an 8-year-old patient with alopecia and inflammatory lesions of 2 years of evolution, finally reaching the diagnosis of inflammatory tinea capitis caused by T. tonsurans, an anthropophilic fungus considered rare in Argentina and emerging in the province of Buenos Aires. This pathogen has high transmissibility; several countries have reported school and community outbreaks. The importance of its early clinical suspicion for adequate treatment should be emphasized.

摘要

头癣(TC)是一种头皮浅表真菌病,被认为是儿童中最常见的皮肤癣菌感染之一。到目前为止,在我们所处环境中主要描述的菌种是小孢子菌,其次是毛癣菌,它们分别主要通过与受感染的动物或人类直接接触而感染。我们报告一例8岁患者,有2年病程的脱发和炎症性皮损,最终诊断为由断发毛癣菌引起的炎症性头癣,这种亲人性真菌在阿根廷被认为罕见,在布宜诺斯艾利斯省呈上升趋势。这种病原体具有高传播性;多个国家报告过学校和社区暴发疫情。应强调早期临床怀疑对进行适当治疗的重要性。

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