Understanding Kerion Celsi in Children: Diagnosis and Therapeutic Guidelines Through an Algorithm

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 4; p. e58475
• Main Authors: Figueroa Basurto, Carla I, Shuchleib Cukiert, Mario, Juárez Durán, Eder R, Vega-Memije, María E, Ramírez Terán, Ana L
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 17-04-2024; Cureus
• Subjects: Alopecia; Baldness; Biopsy; Children & youth; Dermatology; Erythema; Fungal infections; Hair; Infectious Disease; Lymphocytes; Medical diagnosis; Neutrophils; Patients; Pediatrics; Public health; Rural areas; Skin diseases; Suburban areas; Mexico; diagnostic algorithm; treatment algorithm; scalp ringworm; tinea capitis; kerion celsi
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.58475

Kerion celsi (KC), known as scalp ringworm, is the most common dermatophytosis in children. In Mexico, it ranks fourth among dermatophytoses, with a frequency of 4%-10%. KC is the inflammatory variety of tinea capitis (TC), with the most common causative agents being
and
We present the clinical case of a six-year-old male diagnosed with KC. Direct examination stained with chlorazol black and cultures were performed, yielding negative results. Histopathological study revealed spores and short hyphae within and surrounding the hair shaft. Treatment with itraconazole was initiated based on suspicion of
spp. from the trichoscopy findings. We propose a diagnostic and therapeutic algorithm for kerion celsi.