Korean J Med Mycol.  2012 Dec;17(4):230-235.

Kerion Celsi Caused by Trichophyton verrucosum Probably Transmitted from Cattle

• Lee MH
• Yoo JY
• Suh MK
• Ha GY
• Kim JR
• Lee HJ

Abstract

Kerion celsi is a severe inflammatory type of tinea capitis that presents as an inflammatory, boggy mass with broken hairs and hair loss. It is usually occurred in children between the age of 4 and 14 years that caused by zoophilic or geophilic pathogens such as Microsporum(M.) canis, Trichophyton(T.) mentagrophytes, T. verrucosum, M. gypseum, T. verrucosum was chiefly found from cattle which infect the human through direct contact. We report a case of kerion celsi caused by T. verrucosum probably transmitted from cattle in a 3-year-old boy. The patient had a solitary, tender, 6.0 x 5.5 cm sized, erythematous boggy plaque and pustules with hair loss on the right side of occipital scalp for 2 weeks. Chains of chlamydoconidia were observed in KOH mount and slide culture by light microscopy. The nucleotide sequence of internal transcribed spacer (ITS) region for clinical isolate was identical to that of T. verrucosum strain IFM 57570. He was treated with 125 mg of terbinafine daily for 12 weeks and short term therapy of low dose of prednisolone. Skin lesion was cured without recurrence.

Keyword

Cattle; Kerion celsi; Trichophyton verrucosum

MeSH Terms

Animals
Base Sequence
Cattle
Child
Hair
Humans
Light
Microscopy
Prednisolone
Recurrence
Scalp
Skin
Sprains and Strains
Tinea Capitis
Trichophyton