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[猫引起的犬小孢子菌感染:一个家庭头癣和皮肤癣菌病的来源]

[Microsporum canis infection from a cat : A source of tinea capitis and dermatophytosis in an entire family].

作者信息

Tchernev Georgi, Shine Anu, Linkwinstar Diya, Broshtilova Valentina, Nenoff Pietro

机构信息

Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, General Skobelev 26, 1606, Sofia, Bulgarien.

Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, General Skobelev 79, 1606, Sofia, Bulgarien.

出版信息

Dermatologie (Heidelb). 2025 Jun 30. doi: 10.1007/s00105-025-05528-7.

Abstract

Tinea capitis is a common fungal infection of the scalp predominantly affecting children. It is often misdiagnosed due to its clinical resemblance to other dermatological conditions such as psoriasis and seborrheic dermatitis. This case report presents a 4-year-old boy who was initially misdiagnosed and treated for psoriasis but later correctly diagnosed with tinea capitis caused by Microsporum canis. The diagnosis was confirmed through microbiological culture and histopathological examination after local corticosteroid treatments failed to show improvement. Subsequently, it was discovered that the entire family, including the boy's sister, mother, and father, had also developed dermatophytosis due to zoonotic transmission of Microsporum canis from the family cat. The patient and his family were successfully treated with terbinafine, and the family cat was treated by a veterinarian. This case underscores the importance of thorough diagnostic procedures, including consideration of pet and familial exposure, to prevent misdiagnosis, reduce the transmission of tinea capitis to other family members and ensure successful treatment outcomes.

摘要

头癣是一种常见的头皮真菌感染,主要影响儿童。由于其临床表现与其他皮肤病如银屑病和脂溢性皮炎相似,常被误诊。本病例报告介绍了一名4岁男孩,最初被误诊为银屑病并接受治疗,但后来被正确诊断为犬小孢子菌引起的头癣。在局部使用皮质类固醇治疗无效后,通过微生物培养和组织病理学检查确诊。随后发现,整个家庭,包括男孩的妹妹、母亲和父亲,也因犬小孢子菌从家猫的人畜共患病传播而患上皮肤癣菌病。患者及其家人成功接受了特比萘芬治疗,家猫由兽医进行了治疗。该病例强调了全面诊断程序的重要性,包括考虑宠物和家庭接触情况,以防止误诊,减少头癣向其他家庭成员的传播,并确保治疗成功。

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