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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 4  |  Page : 333-334

Kerion in a neonate


1 Department of Paediatrics, Kanchi Kamakoti Childs Trust Hospital, Childs Trust Medical Research Foundation, Chennai, Tamil Nadu, India
2 Department of Paediatrics, Sree Balaji Medical College, Chennai, Tamil Nadu, India
3 Department of Dermatology, Kanchi Kamakoti Childs Trust Hospital, Childs Trust Medical Research Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
K Vindhiya
Department of Paediatrics, Sree Balaji Medical College, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2319-7250.206080

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Tinea capitis is predominantly an infection of children but extremely rare in neonates. Kerion is a T-cell mediated, severe pattern of an inflammatory fungal infection. It is characterized by tender, boggy nodular swelling with regional lymphadenopathy. There might be pus discharge and sinus formation that mimics bacterial folliculitis or an abscess of the scalp. Thick crusting with matting of hairs is common. Usually, area affected is limited, but multiple lesions are not rare. We report a 25-day-old neonate who presented with scalp swelling of 5 days duration. Baseline investigations were normal. Dermatological consult was obtained. Light and fluorescent microscopy along with fungal culture of the infected hair confirmed kerion due to Trichophyton mentagrophyte var. mentagrophyte. The infant was treated with griseofulvin and recovered completely.


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