A Case of Kerion Celsi in the Elderly Caused by Trichophyton verrucosum and Treated with Terbinafine / 대한의진균학회지

ABSTRACT

Kerion celsi presents as an inflammatory, boggy mass studded with broken hairs, oozing purulent material from follicular orifices. This infection is caused most commonly by zoophilic or geophilic dermatophytes and occurs almost exclusively in children. We report a case of kerion celsi caused by Trichophyton (T.) verrucosum in a 67-year-old female, who showed a tender, indurated, swollen, boggy mass exuding pus on the right parietal scalp for 20 days. Culture from a scalp lesion of the patient on Sabouraud dextrose agar showed T. verrucosum. Therapy was initiated with 250 mg of terbinafine daily with almost complete resolution of scalp lesion one month after treatment. No recurrence has been observed to date.