1. No Incision No Drainage

    It has been known for years that kerion celsi can be misdiagnosed as bacterial infection and that incision and drainage is not only unnecessary but inappropriate treatment. (See these: Journal of Pediatric Surgery Volume 42, Issue 8, August 2007, Pages e33-e36; Feetham JE, Sargant N Kerion celsi: a misdiagnosed scalp infection Archives of Disease in Childhood 2016;101:503; and finally British Association of Dermatologists' guidelines for the management of tinea capitis 2014)

    Unfortunately this case report leaves the impression that I&D of "scalp abscesses" was necessary and appropriate treatment. It is so widely recognized that surgical treatment of these cases is not necessary, it is not always mentioned in guidelines.

    It would be wise to include an editors comments along these lines or perhaps suggested further reading?

    Conflict of Interest:


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