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Syn.: Tinea capitis trichophytica profunda, kerion Celsi.
Epid .: Infection in humans is most common in a rural environment.
Etiol .: Caused by zoophilic fungi – T. verrucosum – causes mycosis in cattle, T. mentagrophytes var. granulosum (granular variety), T. mentagrophytes var. gypseum (flour variety) – occur in domestic animals and rodents. The fungal spores are located outside the hairline.
Clinical: A deeply infiltrated focal (kerion) on the hairy head, neck and upper limbs, preceded a few days earlier by an outbreak of superficial mycosis with pustules against the background of an acute inflammatory reaction. Around the hair follicles, there are “cauliflower” bumps, prone to softening, in which the hair is loosely attached and not broken. The course of the infection is acute with a systemic reaction and enlargement of the surrounding lymph nodes. It usually takes several weeks for new, healthy hair to reappear at the site of an infection that is resolving.
Treatment: Antifungal treatment with oral and topical medications should be preceded by anti-inflammatory treatment.
DIG. G-36. Clinical picture of shearing mycosis of deep scalp caused by fungi of the genus Trichophyton.
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DIG. G-37. Clinical picture of shearing mycosis of deep scalp caused by fungi of the genus Trichophyton.
DIG. G-38. Clipping mycosis of the scalp.
DIG. G-39. Clipping mycosis of the scalp.
DIG. G-40. Deep clipping mycosis.
DIG. G-41. Deep clipping mycosis.