Tinea capitis-diagnostic measures in an outbreak situation : Case report and review of the literature.

[Tinea capitis-diagnostic measures in an outbreak situation : Case report and review of the literature]. Hautarzt. 2019 May 16;: Authors: Mayser P Abstract In a preschool a long-lasting outbreak of Trichophyton (T.) tonsurans tinea capitis was stopped by a concurrent screening of all persons at-risk (N = 264) with the hairbrush technique and a therapy based on clinical picture as well as on the quantitative results of the culture. In addition to the 5 symptomatic patients 10 asymptomatic carriers undetected until now were especially important as vectors. With the rising incidence of T. tonsurans and T. violaceum and the return of Microsporum (M.) audouinii in central Europe such outbreaks are likely to occur more frequently. According to the literature an early and comprehensive screening of the entire at-risk population, a combined antimycotic therapy of the symptomatic and at least a topical therapy of the asymptomatic as well as measures of decontamination are important conditions for successful outbreak management. In our hands the hairbrush technique is a reliable, painless and easy-to-perform screening method which also allows a quantification of fungal load. PMID: 31098691 [PubMed - as supplied by publisher]
Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research

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Tinea capitis is a fungal infection classically affecting children at ages 3-7 years and rarely has been reported in children less than 2 years of age.1,2 The most common etiologic agents in the US are Trichophyton tonsurans and Microsporum canis.3 Pathogens vary and country of origin should be considered when investigating the causative organism. Occasionally, Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton violaceum, and Trichophyton Sudanese can trigger outbreaks of tinea capitis that are indistinguishable from T tonsurans and are associated with immigrants from the Mediterranean, Eastern Europe, and Central Asia.
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