Abstract
A 5-year-old girl developed an exophytic pustular tumor on her head within a few days. Since a bacterial infection was suspected, the tissue was incised and a skin biopsy was taken to exclude a malignant tumor. Due to worsening despite treatment with systemic antibiotics, the patient consulted the department of dermatology. Tinea capitis caused by Microsporum canis was suspected and hair specimens were taken. Diagnosis was confirmed by a positive culture. The patient was treated topically with econazole and systemically with itraconazole. Rapid onset of pustular destruction of hair follicles in children is typical of deep trichomycosis. Early diagnosis and antimycotic therapy is essential in order to prevent scarring with permanent hair loss.
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