Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge

Tinea capitis is a common dermatophyte infection affecting scalp and hair of pre-pubertal children. With introduction of Griseofulvin in 1958, there has been considerable improvement in the treatment of tinea capitis. A seven-year-old male child was brought to the dermatology clinic. He presented...

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Main Authors: Rameshwari Thakur, Roma Goyal
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-12-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/6859/14488_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdf
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author Rameshwari Thakur
Roma Goyal
author_facet Rameshwari Thakur
Roma Goyal
author_sort Rameshwari Thakur
collection DOAJ
description Tinea capitis is a common dermatophyte infection affecting scalp and hair of pre-pubertal children. With introduction of Griseofulvin in 1958, there has been considerable improvement in the treatment of tinea capitis. A seven-year-old male child was brought to the dermatology clinic. He presented with diffuse white scaly patches of alopecia on scalp of one-year duration. The child was sent to the microbiology section of the National Health laboratory, Botswana for the collection of the samples. The samples consisted of scalp scrapings and few plucked hairs from the suspicious areas, which were collected by swab and scalpel blade methods. Potassium hydroxide (10% KOH) mounts were prepared for scales and hair samples. Scales were positive for fungal elements and endothrix type of perforation was seen in hair. Cultures on Sabouraud’s dextrose agar (SDA) and Derm agar were incubated at 25°C, which yielded white variant of Trichophyton violaceum after two weeks of incubation. T. vioaceum (white variant) grew in all the plates. After six weeks of treatment with griseofulvin, the repeat culture grew only T. violaceum (violet strain). The child showed a definite clinical improvement.
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spelling doaj.art-7a3a164297294965ab1235ca9dfa60522022-12-22T01:30:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-12-01912WD03WD0410.7860/JCDR/2015/14488.6859Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic ChallengeRameshwari Thakur0Roma Goyal1Associate Professor, Department of Microbiology, Muzaffarnagar Medical College, Meerut Road, Muzaffarnagar, UP, India.Demonstrator, Department of Microbiology, Muzaffarnagar Medical College, Meerut Road, Muzaffarnagar, UP, India.Tinea capitis is a common dermatophyte infection affecting scalp and hair of pre-pubertal children. With introduction of Griseofulvin in 1958, there has been considerable improvement in the treatment of tinea capitis. A seven-year-old male child was brought to the dermatology clinic. He presented with diffuse white scaly patches of alopecia on scalp of one-year duration. The child was sent to the microbiology section of the National Health laboratory, Botswana for the collection of the samples. The samples consisted of scalp scrapings and few plucked hairs from the suspicious areas, which were collected by swab and scalpel blade methods. Potassium hydroxide (10% KOH) mounts were prepared for scales and hair samples. Scales were positive for fungal elements and endothrix type of perforation was seen in hair. Cultures on Sabouraud’s dextrose agar (SDA) and Derm agar were incubated at 25°C, which yielded white variant of Trichophyton violaceum after two weeks of incubation. T. vioaceum (white variant) grew in all the plates. After six weeks of treatment with griseofulvin, the repeat culture grew only T. violaceum (violet strain). The child showed a definite clinical improvement.https://jcdr.net/articles/PDF/6859/14488_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdfdermatophyteendothrixkoh mount
spellingShingle Rameshwari Thakur
Roma Goyal
Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
Journal of Clinical and Diagnostic Research
dermatophyte
endothrix
koh mount
title Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
title_full Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
title_fullStr Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
title_full_unstemmed Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
title_short Tinea Capitis: Mixed or Consecutive Infection with White and Violet Strains of Trichophyton violaceum: A Diagnostic or Therapeutic Challenge
title_sort tinea capitis mixed or consecutive infection with white and violet strains of trichophyton violaceum a diagnostic or therapeutic challenge
topic dermatophyte
endothrix
koh mount
url https://jcdr.net/articles/PDF/6859/14488_CE[Ra1]_F(GH)_PF1(Vi_Om)_PFA(AK)_PF2(PAG).pdf
work_keys_str_mv AT rameshwarithakur tineacapitismixedorconsecutiveinfectionwithwhiteandvioletstrainsoftrichophytonviolaceumadiagnosticortherapeuticchallenge
AT romagoyal tineacapitismixedorconsecutiveinfectionwithwhiteandvioletstrainsoftrichophytonviolaceumadiagnosticortherapeuticchallenge