An 11-year-old healthy girl presented to the emergency department with a cutaneous circular plaque on her right leg. She lived with her parents and a healthy dog. The rash had started 6 days before as an erythematous scaly plaque with progressive developing of pustules. It was mildly pruritic and painful and had not improved with neither mupirocin ointment nor oral amoxicillin/clavulanic acid for 6 days. Physical examination showed a 5×4cm erythematous circular plaque with peripheral pustules on the right leg (Fig. 1). Mycological culture of skin scraping confirmed a Trichophyton tonsurans skin infection, an anthropophilic dermatophyte more often isolated from the scalp but which may also cause dermatophytoses associated with skin and nails. The patient began oral terbinafine and topical hydrocortisone/miconazole cream with slowly improvement. As the pustules disappeared, the plaque began to turn cicatricial and keratin plugs appeared in the follicular orifices (Fig. 2). Our patient completed 8-week course of oral Terbinafine (150mg per day) and after 2 months of topical retinoid, the keratin plugs have resolved leaving a cicatricial plaque.
Información de la revista
Vol. 2. Núm. 1.
Páginas 13 (enero - febrero 2019)
Vol. 2. Núm. 1.
Páginas 13 (enero - febrero 2019)
Images in medicine
Open Access
Skin infection due to Trichophyton tonsurans
Dermatofitosis por Trichophyton tonsurans
Visitas
1743
Elena García-Zamora
, Elena Naz-Villalba, Henar Sanz-Robles, José Luis López-Estebaranz
Autor para correspondencia
Hospital Universitario Fundación Alcorcón, Dermatología, 28922 Alcorcón, Madrid, Spain
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