A Case of Kerion Celsi Due to <i>Trichophyton tonsurans</i> in a Boy Who Returned to Japan from Singapore

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  • Kitami Yuki
    Department of Dermatology, Showa University School of Medicine
  • Baba Riyo
    Department of Dermatology, Showa University School of Medicine
  • Kagawa Saburo
    Department of Dermatology, Showa University School of Medicine
  • Iijima Masafumi
    Department of Dermatology, Showa University School of Medicine

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Other Title
  • シンガポールより帰国した男児にみられた<i>Trichophyton tonsurans</i>によるケルスス禿瘡の1例―本邦報告例の菌学的検討―
  • シンガポールより帰国した男児にみられたTrichophyton tonsuransによるケルスス禿瘡の1例--本邦報告例の菌学的検討
  • シンガポール ヨリ キコク シタ ダンジ ニ ミラレタ Trichophyton tonsurans ニ ヨル ケルスス トクソウ ノ 1レイ ホンポウ ホウコクレイ ノ キンガクテキ ケントウ

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Abstract

A case of Kerion celsi is described in a 6-year-old boy, who returned to Japan from Singapore. Physical examination revealed ill-demarcated alopecia lesions without black dots on the parietal and right temporal regions. Microscopic examination with potassium hydroxide of broken hairs revealed endothrix spores. An identification of Trichophyton tonsurans was made by fungal culture and DNA analysis. The patient’s scalp cleared after oral administration of terbinafine, 62.5 mg per day, for 13 weeks. In recent years, many cases of T. tonsurans infection have been reported in those who participate in judo or wrestling, and the problem of group infection among such players has been pointed out. A literature review can help to clarify the mycological characteristics of T. tonsurans in Japan.

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