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Arch. Soc. Esp. Oftalmol ; 93(10): 491-493, oct. 2018. ilus
Article in Spanish | IBECS | ID: ibc-175123

ABSTRACT

CASO CLÍNICO: Presentamos el caso de una niña de 3 años de edad, quien tenía una placa eritematoedematosa asociada a blefaritis y chalazión en el párpado superior derecho. Recibió tratamiento empírico con corticoide, antifúngico y antibiótico tópicos sin notar mejoría. El cultivo de raspado del párpado reveló Microsporum canis, por lo cual se prescribió terbinafina oral y miconazol-betametasona tópicos consiguiendo la curación clínica y microbiológica. DISCUSIÓN: La infección palpebral por dermatofitos es poco frecuente, pero debemos considerarla dentro de las sospechas diagnósticas de lesiones cutáneas palpebrales. Es clave el estudio microbiológico para su diagnóstico y tratamiento adecuados


CASE REPORT: The case is presented of a 3-year-old girl with an erythematous oedematous plaque associated with blepharitis, and chalazion in the right upper eyelid. She received empirical treatment with topical corticosteroids, as well as an antifungal and antibiotic, without observing any improvement. The culture of the eyelid scrape showed Microsporum canis. Therefore, she was prescribed oral terbinafine and topical miconazole-betamethasone, achieving a clinical and microbiological recovery. DISCUSSION: Eyelid infection due to dermatophytes is uncommon, but it should be considered among the diagnostic suspicions of palpebral skin lesions. The microbiological study is a key factor for its diagnosis and appropriate treatment


Subject(s)
Humans , Female , Child, Preschool , Tinea/diagnosis , Tinea/drug therapy , Blepharitis/diagnosis , Blepharitis/microbiology , Chalazion/complications , Antifungal Agents/therapeutic use , Tinea/complications , Microsporum/isolation & purification , Eyelid Diseases/diagnostic imaging , Eyelid Diseases/drug therapy , Methylprednisolone , Miconazole , Griseofulvin
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