Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Kerion Celsi Caused by Trichophyton verrucosum Mimicking a Hypervascular Tumor in a Pediatric Patient: A Case Report

고혈관성 종양으로 오인된 Trichophyton verrucosum에 의한 두피 백선종창 1례

  • Kim, Kyung-Ran (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Hwanhee (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Doo Ri (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yoon, Yoonsun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeon, Chiman (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Sanghoon (Department of Pediatric Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, So Young (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Ji Hye (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Yae-Jean (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김경란 (성균관대학교 의과대학, 삼성서울병원 소아청소년과) ;
  • 박환희 (성균관대학교 의과대학, 삼성서울병원 소아청소년과) ;
  • 김두리 (성균관대학교 의과대학, 삼성서울병원 소아청소년과) ;
  • 윤윤선 (성균관대학교 의과대학, 삼성서울병원 소아청소년과) ;
  • 전치만 (성균관대학교 의과대학, 삼성서울병원 신경외과) ;
  • 이상훈 (성균관대학교 의과대학, 삼성서울병원 소아외과) ;
  • 임소영 (성균관대학교 의과대학, 삼성서울병원 성형외과) ;
  • 김지혜 (성균관대학교 의과대학, 삼성서울병원 영상의학과) ;
  • 김예진 (성균관대학교 의과대학, 삼성서울병원 소아청소년과)
  • Received : 2021.10.16
  • Accepted : 2022.08.20
  • Published : 2022.08.25
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Abstract

A dermatophyte is a zoonotic infection that causes infection on the skin, hair, and nails and is transmitted through contact. The species of Microsporum, Trichophyton, and Epidermophyton are the major dermatophytes that infect humans. Tinea capitis is a dermatophyte infection in the scalp, and it may progress to kerion celsi, including severe redness, swelling, and pus formation. Kerion celsi is sometimes misdiagnosed as a bacterial infection or a tumor. Trichophyton verrucosum is a zoophilic dermatophyte that mainly causes infection in cattle. It can be spread to dairy farmers or ranchers who have frequent contact with infected cattle. We report a pediatric case who received scalp tumor excision and a split-thickness skin graft for extensive and severe inflammatory scalp tumors that occurred after contact with cattle with ringworm. Finally, the patient was diagnosed with kerion celsi caused by T. verrucosum infection. This was based on the patient's medical history, clinical manifestations, and histopathologic findings.

피부사상균은 접촉을 통해 피부, 모발, 손발톱 등에 감염을 일으키며, 심한 경우 백선종창으로 진행되기도 한다. 건강했던 4세 여자 환자가 심한 두피병변으로 내원하여 세균, 진균감염뿐만 아니라 고혈관성 종양도 의심되어 두피 종양 절제술과 피부이식까지 받았다. 저자들은 면밀한 병력청취와 신체 진찰 및 임상양상을 토대로 Trichophyton verrucosum을 의심하여, 최종적으로 조직병리검사 소견을 종합하여 T. verrucosum에 의한 백선종창으로 진단 및 치료한 증례 1 례를 보고하는 바이다.

Keywords

References

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