14. Một số đặc điểm lâm sàng và loài nấm gây bệnh ở trẻ em bị nấm da đầu kerion

Abstract

Kerion celsi is common in children, representing a fairly high percentage of tinea capitis. Clinical manifestations are abscesses, pustulosis, and alopecia accompanied by systemic symptoms. We conducted this study to describe the clinical characteristics and the fungal species causing kerion celsi. Materials and methods: this is a cross-sectional descriptive study on 25 hospitalized patients with kerion celsi treated at the National Hospital of Dermatology and Venereology from January 2017 to December 2017. Results showed that male patients accounted for 64%, female patients accounted for 36%; 52% were from 4 - 7 years old, 24% were from 8 - 11 years old and 20% were from 0 - 3 years old The children had a history of contact with dogs (20%), cats (12%), and both dogs and cats (32%). The rate of children with one lesion was 64% distributed mostly in the parietal region (52%). Most lesions were swollen, pustular, and had hair loss. There was 72% of children with regional lymphadenopathy. The percentage of Trichophyton rubrum was 31.6%, Trichophyton mentagrophytes was 26.3% and Microsporum gypseum was 15.8%. As such, kerion celsi origin is quite diverse, and differ with the general belief that Microsporum canis is the most common cause.