断发毛癣菌致成人脓癣1例

中国真菌学杂志　 2021, Vol. 16 　Issue (4): 266-268,283.

断发毛癣菌致成人脓癣1例

周成龙, 张晓利

南京医科大学附属无锡第二医院皮肤科, 无锡 214200

收稿日期:2020-08-05 发布日期:2021-08-31
通讯作者: 张晓利,E-mail:zxl415@163.com E-mail:zxl415@163.com
作者简介:周成龙,男(汉族),本科,检验技师.E-mail:849388694@qq.com

Adult kerion caused by Trichophyton tonsurans: a case report

ZHOU Chenglong, ZHANG Xiaoli

Department of dermatology, Wuxi Second People's Hospital, Nanjing Medical University, Wuxi 214200, China

Received:2020-08-05 Published:2021-08-31

摘要/Abstract

摘要： 患者，女，22岁，头顶部红斑伴脱发3周。皮肤科检查：头顶部大片红斑脱屑，相互融合，红斑内头发大面积脱落，可见毛囊性脓疱及皮下脓肿。真菌直接镜检、培养及分子生物学菌种鉴定，确诊为断发毛癣菌所导致的脓癣，予伊曲康唑（0.2 g/d）口服及2%酮康唑洗剂外用，治疗12周后，皮损基本完全消退，脱发区头发长出。

关键词: 脓癣, 成人, 断发毛癣菌

Abstract: The patient was a 22-year-old female with erythema at the top of the head with hair loss for 3 weeks. Dermatological examination:large erythema on the top of the head with hair loss, visible follicular pustules and subcutaneous abscess. The patient was diagnosed as kerion caused by Trichophyton tonsurans after direct microscopic examination, fungal culture and molecular identification. Oral itraconazole (0.2 g/d) and 2% ketoconazole shampoo were given. After twelve weeks of treatment, the skin lesions completely faded, and hair grows in the alopecia area.

中图分类号:

R756.1A

周成龙, 张晓利. 断发毛癣菌致成人脓癣1例[J]. 中国真菌学杂志, 2021, 16(4): 266-268,283.

ZHOU Chenglong, ZHANG Xiaoli. Adult kerion caused by Trichophyton tonsurans: a case report[J]. Chinese Journal of Mycology, 2021, 16(4): 266-268,283.

参考文献

[1] 熊心猜,刘婷,丁小洁,等. 脓癣63例临床分析[J]. 皮肤病与性病,2012,34(5):252-253.
[2] Zhan P, Li D, Wang C, et al. Epidemiological changes in tinea capitis over the sixty years of economic growth in China[J]. Med Mycol,2015,53(7):691-698.
[3] 丁菲,李红宾. 头癣的流行病学研究与治疗现状[J]. 中国麻风皮肤病杂志,2011, 27(7):492-494。
[4] 李彩霞,刘维达.我国大陆近年儿童头癣流行情况的回顾分析[J].中国真菌学杂志,2011,6(2):77-82.
[5] 邓淑文,李若瑜,惠艳,等.新疆喀什地区头癣分离菌株的鉴定及RAPD分型研究[J].中华皮肤科杂志,2005,17(3):173-174.
[6] 万远芳,陈征,贺淑丹,等.误诊为化脓性毛囊炎的成人脓癣1例[J].中国中西医结合皮肤性病学杂志,2019,18(4):362-363.
[7] 胡志敏,童中胜,冯先华,等.断发毛癣菌致成人脓癣1例[J].中国皮肤性病学杂志,2008,20(6):381.
[8] 高闯,伍洲炜.犬小孢子菌致女性外阴脓癣1例[J].中国真菌学杂志,2019,14(2):110-111.
[9] 齐显龙,郭艳阳,刘斌,等.须癣毛癣菌致成人眉区脓癣1例[J].中国真菌学杂志,2010,5(6):364-365.
[10] 周冼苡.须癣毛癣菌致成人脓癣及体癣1例[J].中国皮肤性病学杂志,2003,15(5):55-56.
[11] 封维阳,王塞枫,顾美芳.紫色癣菌致成人脓癣1例[J].中国皮肤性病学杂志,1996,8(3):161-162.
[12] Trovato L, Oliveri S, Domina M, et al. Molecular diagnosis of kerion celsi caused by Trichophyton tonsurans in a Italian child[J]. Med Mycol Case Rep, 2019, 24:72-74.
[13] Brilhante RSN, Cordeiro RA, Gomes JMF, et al. Canine dermatophytosis caused by an anthropophilic species:molecular and phenotypical characterization of Trichophyton tonsurans[J]. J Med Microbiol,2006, 55(Pt11):1583-1586.
[14] 余进,朱敏.中国头癣诊断和治疗指南(2018修订版)[J].中国真菌学杂志,2019,14(1):4-6.
[15] 周梦云,王彦红,夏修蛟,等.中西医结合治疗紫色毛癣菌所致成人脓癣1例报告[J].中国中西医结合杂志,2020,40(9):1142-1143.
[16] Lapergola G, Breda L, Chiesa PL, et al.Kerion celsi caused by Trichophyton tonsurans in a child[J]. Lancet Infect Dis,2018,18(7):812.