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http://dx.doi.org/10.14776/piv.2022.29.e13

Kerion Celsi Caused by Trichophyton verrucosum Mimicking a Hypervascular Tumor in a Pediatric Patient: A Case Report  

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)
Publication Information
Pediatric Infection and Vaccine / v.29, no.2, 2022 , pp. 118-123 More about this Journal
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.
Keywords
Dermatomycoses; Tinea capitis; Scalp tumor; Trichophyton verrucosum; Skin transplantation;
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