Successful treatment of kerion with itraconazole and ALA-PDT: A case report

被引:10
作者
Lu, Jiejie [1 ]
Li, Wen [1 ]
Zheng, Wen'ai [2 ]
Huang, Ruiye [1 ]
Wu, Weiwei [1 ]
机构
[1] Fifth Peoples Hosp Hainan Prov, Dept Dermatol, 33 Southern Rd Longkun, Haikou 570206, Hainan, Peoples R China
[2] Fifth Peoples Hosp Hainan Prov, Dept Lab Med, 33 Southern Rd Longkun, Haikou 570206, Hainan, Peoples R China
基金
海南省自然科学基金;
关键词
Kerion; Photodynamic therapy; Aminolevulinic acid; ltraconazole;
D O I
10.1016/j.pdpdt.2019.07.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Kerion refers to the severe inflammatory reaction which occurs in some cases of fungal infection of the hair or hair follicles. Successful treatment is a challenge for the small number of kerion patients who show poor efficacy of oral antifungal agents. In recent years, photodynamic therapy (PDT) has been proven to be a useful treatment for a variety of fungal infections. In this case report, a 9-year-old Chinese girl presented with erythema, pustular and tender plaques on her scalp for 2 month. The diagnosis of kerion was made based on clinical features and positive mycological findings. After the disease relapsed with oral administration of itraconazole for 6 weeks, she was successfully cured by three sessions of ALA-PDT combined with itraconazole. This case report suggests that ALA-PDT provides a good alternative and adjutant choice for kerion with safety, less side effects, and good repeatability.
引用
收藏
页码:385 / 387
页数:3
相关论文
共 7 条
[1]   Photodynamic inhibition of Trichophyton rubrum: in vitro activity and the role of oxidative and nitrosative bursts in fungal death [J].
Baltazar, Ludmila de Matos ;
Soares, Betania Maria ;
Silva Carneiro, Hellem Cristina ;
Avila, Thiago Vinicius ;
Gouveia, Ludmila Ferreira ;
Souza, Danielle G. ;
Lucas Ferreira, Marcus Vinicius ;
Pinotti, Marcos ;
Santos, Daniel de Assis ;
Cisalpino, Patricia Silva .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2013, 68 (02) :354-361
[2]   Antimicrobial photodynamic therapy: an effective alternative approach to control fungal infections [J].
Baltazar, Ludmila M. ;
Ray, Anjana ;
Santos, Daniel A. ;
Cisalpino, Patricia S. ;
Friedman, Adam J. ;
Nosanchuk, Joshua D. .
FRONTIERS IN MICROBIOLOGY, 2015, 6
[3]   Tinea capitis in children: a systematic review of management [J].
Gupta, A. K. ;
Mays, R. R. ;
Versteeg, S. G. ;
Piraccini, B. M. ;
Shear, N. H. ;
Piguet, V. ;
Tosti, A. ;
Friedlander, S. F. .
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY, 2018, 32 (12) :2264-2274
[4]   Photodynamic Therapy Combined with Terbinafine Against Chromoblastomycosis and the Effect of PDT on Fonsecaea monophora In Vitro [J].
Hu, Yongxuan ;
Huang, Xiaowen ;
Lu, Sha ;
Hamblin, Michael R. ;
Mylonakis, Eleftherios ;
Zhang, Junmin ;
Xi, Liyan .
MYCOPATHOLOGIA, 2015, 179 (1-2) :103-109
[5]   The kerion: an angry tinea capitis [J].
John, Ann M. ;
Schwartz, Robert A. ;
Janniger, Camila K. .
INTERNATIONAL JOURNAL OF DERMATOLOGY, 2018, 57 (01) :3-9
[6]   In vitro combination therapy using low dose clotrimazole and photodynamic therapy leads to enhanced killing of the dermatophyte Trichophyton rubrum [J].
Morton, C. Oliver ;
Chau, Mousawi ;
Stack, Colin .
BMC MICROBIOLOGY, 2014, 14
[7]   In vitro photodynamic inactivation (PDI) of pathogenic germs inducing onychomycosis [J].
Shamali, Nedaa ;
Preuss, Annegret ;
Saltsman, Irena ;
Mahammed, Atif ;
Gross, Zeev ;
Daeschlein, Georg ;
Roeder, Beate .
PHOTODIAGNOSIS AND PHOTODYNAMIC THERAPY, 2018, 24 :358-365