Kerion celsi caused by microsporum gypseum: report of two cases and review

Abstract

Tinea capitis is the scalp infection caused by dermatophyte mainly by Trichophyton spp and Microsporum spp The causal agent varies according to the geographic region the most frequent in the world is M canis and in the United States of America T tonsurans The inflammatory clinical manifestatitions called Kerion Celsi It is caused mainly by zoophilic fungi as Microsporum canis and Trichophyton mentagrophytes and rarely by geophilic fungi M gypseum We report the case of a year old female patient with an inflammatory tinea capitis with the presence of crusts zig zag and comma hairs under trichoscopic examination a parasited hair was observed in the histopathological study and Microsporum gypseum was isolated on Sabouraud dextrose agar In the second case a year old male patient the trichoscopy showed Morse code hairs and hyaline hyphae and spores were observed in the direct mycological examination Culture on Sabouraud agar confirmed the presence of Microsporum gypseum He was treated with Itraconazole for weeks with a complete clinical and mycological resolution