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   Abstract
   Introduction
   Case Report
   Discussion
   References
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CASE REPORT
Year : 1996  |  Volume : 62  |  Issue : 1  |  Page : 41-42

Tinea faciei and tinea capitis in a 15-day-old infant




Correspondence Address:
R R Mittal


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Source of Support: None, Conflict of Interest: None


PMID: 20947967

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  Abstract 

A case of tinea faciei and tinea capitis in a 15-day-old male infant caused by Trichophyton tonsurans is being reported because of its rarity. This may be the youngest infant from India where source of infection was his elder brother who had black dot type of tinea capitis and incubation period in the present case was 7 days.


Keywords: Dermatophytosis, Tinea faciei, Trichophyton tonsurans


How to cite this article:
Mittal R R, Shivali. Tinea faciei and tinea capitis in a 15-day-old infant. Indian J Dermatol Venereol Leprol 1996;62:41-2

How to cite this URL:
Mittal R R, Shivali. Tinea faciei and tinea capitis in a 15-day-old infant. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2019 Dec 14];62:41-2. Available from: http://www.ijdvl.com/text.asp?1996/62/1/41/4305



  Introduction Top


Superficial dermatophytosis caused by Microsporum, Epidermophyton and Trichophyton is extremely uncommon in infants and is usually associated with an index case in family members or pet animals. A case of tinea capitis and corporis in a 30-day-old infant caused by Microsporum canis was reported in 1953.[1] Superficial fungal infections in infants were reviewed in 1953.[2] Another case of tinea capitis and corporis by M canis was added in 1969.[3] A case of tinea faciei in a 8-day-old infant caused again by Microsporum canis was reported in 1972.[4] A case of kerion, tinea faciei and coporis in an l-month-old infant was reported from India.[5]


  Case Report Top


A 15-day-old infant boy had three annular plaques for 8 days. Parents observed one plague just beneath medial side of right eye [Figure - 1] and second on the margin of left side of scalp. Next day third plaque was seen on left forehead. Plaques increased in size and child was not irritable. Typical 1.2 to 2 cm diameter, annular to circinate plaques with erythematous, raised, broken margins studded with papules, vesicles, pustules associated with central flattened area covered with fine scales were so characteristic that clinical diagnosis of tinea faciei and capitis was easy. His 4-year-old brother had untreated, moderately itchy, black dot type of tinea capitis for 4 months. Skin scrapings in the infant and hair in his 4-year-old brother were positive for spores and hyphae. Cultures from both children revealed slow growing, whitish, powdery colonies which were heaped up and folded in the centre. Culture mounts in both the cases revealed identical match stick microconidia characteristic of Trichophyton tonsurans.


  Discussion Top


Superficial dermatophytosis in infants is a rare condition. Most of the cases reported in the literature are due to Microsporum canis and the case from India was caused by Trichophyton mentagrophytes. The present case is caused by Trichophyton tonsurans and the source of infection in our patient was his elder brother. Incubation period in the present case was 7 days and in the other case from India, it was 3 days. Experimentally it was proved that incubation period was 5 days or less for superficial dermatophytosis.[6]

 
  References Top

1.Bereston ES, Robinson HM Jr. Tinea capitis and corporis in an infant four weeks old. Arch Dermatol 1953;68:664-7.  Back to cited text no. 1    
2.King WC, Walton IK, Livinghood CS. Superficial fungal infections in infants. Arch Dermatol 1953;68:664-7.  Back to cited text no. 2    
3.Alden ER, Chernila SA. Ringworm in an infant. Pediatrics 1969;44:261-2  Back to cited text no. 3  [PUBMED]  
4.Jacobs AH, Jacobs PH, Nancy Moore. Tinea faciei due to Microsporum canis in an 8-day-old infant. JAMA 1972;219:1476.  Back to cited text no. 4    
5.Khare AK, Pandey SS, Singh G, Sharma BM. Kerion, tinea faciei and tinea corporis in an infant. Ind J Dermatol 1984;50:271-2.  Back to cited text no. 5    
6.Singh G. Experimental Trichophyton infection of intact human skin. Br J Dermatol 1973;89:595-9.  Back to cited text no. 6  [PUBMED]  


    Figures

[Figure - 1]



 

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