Kerion caused by Trichophyton tonsurans in an infant

Abstract

A 6-month-old girl presented with 4 weeks history of rapid growing scalp erythema with multiple pustules, purulent secretions and alopecia (Figure 1a). Her father, mother, grandfather and grandmother suffered from tinea corporis in succession 2 months ago. Direct fungal microscopic examination revealed numerous endothrix spores (Figure 1b), and cultures grew Trichophyton tonsurans (Figure 1c). She was treated with oral fluconazole 50 mg/d (6 mg⁄kg⁄d) and 2% ketoconazole cream for 8 weeks with complete remission of the lesions (Figure 1d).