Tinea capitis: clinical features and therapeutic alternatives

被引：7

作者：

Messina, Fernando ^{[1
]}

Walker, Laura ^{[1
]}

de las Mercedes Romero, Maria ^{[1
]}

Irene Arechavala, Alicia ^{[1
]}

Negroni, Ricardo ^{[1
]}

Depardo, Roxana ^{[1
]}

Marin, Emmanuel ^{[1
]}

Maria Santiso, Gabriela ^{[1
]}

机构：

[1] Hosp Infecciosas Francisco Javier Muniz, Unidad Micol, Buenos Aires, DF, Argentina

来源：

REVISTA ARGENTINA DE MICROBIOLOGIA | 2021年 / 53卷 / 04期

关键词：

Dermatophytosis; Superficial mycoses; Tinea capitis; Griseofulvin; Terbinafine; Therapy;

D O I：

10.1016/j.ram.2021.01.004

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

A descriptive observational and cross-sectional study was carried out. The clinical characteristics, etiologic agents, treatments and outcome of 33 cases of tinea capitis in the Mycology Unit at Francisco J. Muniz Hospital of Buenos Aires City between January 2015 and December 2019 were analyzed. The median age of the patients was 7 years, 21 of whom were male, 3 were HIV-positive and 22 had pets. The isolated etiologic agents were the following: Microsporum canis in 22 cases, Trichophyton tonsurans in 8, Nannizzia gypsea in 2 and Trichophyton mentagrophytes in one patient. Suppurative tinea capitis (krion Celsi) was detected in 10 cases and the same number of patients presented other skin locations of their dermatophytosis in addition to those in the scalp. Twenty-one cases were orally treated with griseofulvin and 12 with terbinafine. Those patients with suppurative tinea capitis received drops of betamethasone by mouth besides the antifungal drugs. All patients had good clinical and mycological response to the treatments, all lesions disappeared, and mycological studies turned negative by the end of the treatments. We conclude that both drugs were effective for the treatment of tinea capitis; however, lesions in those cases receiving terbinafine involuted more slowly. (C) 2021 Asociacion Argentina de Microbiologia. Published by Elsevier Espana, S. L. U.

引用

页码：309 / 313

页数：5

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