Tinea  

Oleh:

Lai-Cheong, Joey ; McGrath, John

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 26 (Dec. 2010), page 363:e39.
Topik: Blistering Eruption; Fungal Infection.

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A healthy 6-year-old boy presented to the emergency department with a blistering eruption on his right middle finger. He was otherwise in good health. The rash had started 10 days previously as an erythematous papule and rapidly progressed into an annular plaque that soon blistered (Panels A and B). A complete blood count and the C-reactive protein level (as a marker of inflammation) were within normal limits. The skin swab for bacteriologic analysis was negative. He was started on a topical preparation containing clobetasone butyrate, oxytetracycline, and nystatin. However, the rash worsened. Subsequent review by a dermatologist pointed to a diagnosis of bullous tinea. Mycologic culture of skin scrapings showed Trichophyton rubrum, a common cause of cutaneous fungal infection. The patient began a 14-day course of topical terbinafine. One month after the initiation of therapy, the eruption had completely healed, aside from post-inflammatory hyperpigmentation. His parents, siblings, and close contacts did not have any evidence of fungal infection.

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