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须发癣菌引起的重症塞耳西蜂窝状头癣:须发癣菌所致的重症塞耳西蜂窝状头癣。

Severe kerion Celsi caused by Trichophyton quinckeanum: Severe kerion Celsi due to Trichophyton quinckeanum.

作者信息

Lefranc M, Fourmond S, Jabet A, Normand A-C, Girard D, Accoceberry I, Gabriel F, Delhaes L, Imbert S

机构信息

Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Bordeaux, 33000 Bordeaux, France.

Service de Dermatologie, Centre Hospitalier Universitaire de Bordeaux, 33000 Bordeaux, France.

出版信息

J Mycol Med. 2024 Mar;34(1):101453. doi: 10.1016/j.mycmed.2023.101453. Epub 2023 Nov 17.

Abstract

We report a severe case of kerion Celsi of the scalp in a previously healthy 13-year-old girl due to Trichophyton quinckeanum, an emerging dermatophyte species in Europe. The species was definitely identified by DNA sequencing and the patient was successfully treated by oral terbinafine for 6 weeks. Kerion Celsi is a severe inflammatory form of tinea capitis, which is characterised by a purulent discharge and alopecia [1]. It typically occurs in children infected with zoophilic dermatophytes, such as Trichophyton mentagrophytes, and an increasing number of cases caused by other Trichophyton species has recently been reported [2]. Herein we report a severe case of kerion Celsi of the scalp caused by the emerging species Trichophyton quinckeanum, which was successfully treated by oral antifungal.

摘要

我们报告了一例13岁既往健康女孩的头皮凯尔西脓癣重症病例,该病例由欧洲一种新出现的皮肤癣菌——昆克毛癣菌引起。通过DNA测序明确鉴定了该菌种,患者口服特比萘芬治疗6周后成功治愈。凯尔西脓癣是头癣的一种严重炎症形式,其特征为脓性分泌物和脱发[1]。它通常发生在感染亲动物性皮肤癣菌(如须癣毛癣菌)的儿童中,最近有报道称由其他毛癣菌属菌种引起的病例数量在增加[2]。在此,我们报告了一例由新出现的昆克毛癣菌引起的头皮凯尔西脓癣重症病例,该病例通过口服抗真菌药物成功治愈。

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