BMJ Case Reports 2013; doi:10.1136/bcr-2013-200594

Remember kerion celsi

  1. Luís Varandas2
  1. 1Department of Pediatrics, Hospital Dona Estefânia, Lisboa, Portugal
  2. 2Department of Pediatric Infectious Diseases, Hospital Dona Estefânia, Lisboa, Portugal
  1. Correspondence to Dr Joao Brissos, brissosjoao{at}


A healthy 3-year-old boy presented to our emergency department with a 2-week history of inflammatory scalp lesions. Physical examination revealed diffuse erythematous lesions, with focal areas of alopecia and several pustular patches with extensive suppurative discharge (figures 1 and 2). Cervical lymphadenopathy and fever were also noted. Tinea capitis with secondary bacterial infection was diagnosed and fluconazol, intravenous flucloxacillin and clindamycin were given. Surgical drainage was performed due to multiple scalp abscesses. Trichophyton mentagrophytes was …

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