griseofulvin and Abscess

We report on 2 cases of kerions in children: one of them was located on the pubis, an exceptional location; the second one was located on the scalp and presented like multiple abscess of the scalp, for which surgical drainage was performed. In both cases, Trichophyton mentagrophytes was involved. This dermatophyte is zoophilic, contrary to the dermatophytes usually involved in tinea capitis, which could explain the poor adaptation of the dermatophyte to the human host, who would therefore react by generating a severe inflammatory reaction. Antifungal drugs are recommended for the treatment of kerions, especially griseofuline for 6 to 8 weeks. The value of oral steroids and surgery continues to be debated.

Topics: Abscess; Administration, Oral; Adolescent; Anti-Inflammatory Agents; Antifungal Agents; Child; Dermatomycoses; Diagnosis, Differential; Drug Therapy, Combination; Female; Griseofulvin; Humans; Male; Prednisolone; Tinea Capitis; Tinea Favosa; Vulvar Diseases

Treatment of tinea capitis consists of a 5-week course of griseofulvin. A 1-week course of a systemic corticosteroid may be considered in addition to griseofulvin therapy to accelerate the subsidence of inflammation in kerion lesions. Kerion is an inflammatory form of tinea capitis which may progress rapidly into a fulminant infection if untreated. This case report underscores the need for prompt recognition and appropriate treatment of this disorder.

Topics: Abscess; Adrenal Cortex Hormones; Child, Preschool; Drug Therapy, Combination; Female; Griseofulvin; Humans; Tinea Capitis

Topics: Abscess; Adrenal Cortex Hormones; Dermatomycoses; Female; Folliculitis; Griseofulvin; Humans; Middle Aged; Otitis Media; Pemphigus; Prednisone; Tinea; Trichophyton; Tympanoplasty

Topics: Abscess; Child; Diagnosis, Differential; Griseofulvin; Humans; Male; Tinea Capitis; Trichophyton