{"id":6461,"date":"2024-08-13T11:48:49","date_gmt":"2024-08-13T06:03:49","guid":{"rendered":"https:\/\/medicosnext.com\/?p=6461"},"modified":"2024-08-13T11:48:49","modified_gmt":"2024-08-13T06:03:49","slug":"tinea-capitis-in-a-12-day-old-infant-remedy","status":"publish","type":"post","link":"https:\/\/medicosnext.com\/?p=6461","title":{"rendered":"TINEA CAPITIS IN A 12-DAY OLD INFANT: REMEDY??"},"content":{"rendered":"

\"\"<\/p>\n

 <\/p>\n

 <\/p>\n

-Dr. Samyam Bickram Pathak
\n-MBBS (KIST Medical College), TU Gold Medalist
\n-ECFMG Certified USMLE aspirant
\n-Outstanding Fundaraising Volunteer Award winner
\n– Currently, Volunteer Doctor at Johns Hopkins Medicine-Suburban Hospital<\/p>\n

\n
Dr. Samyam Bickram Pathak<\/strong> is a graduate of KIST Medical College and Teaching Hospital (2022). He is a Tribhuvan University Gold Medalist in Community Medicine.\u00a0 He has received scholarships from Harvard Medical School and holds an ECFMG certification. Currently, Dr. Pathak serves as a volunteer doctor at JOHNS HOPKINS MEDICINE-SUBURBAN HOSPITAL in the department of Pathology and Internal Medicine. His experience includes roles at Nepal Mediciti Hospital, Froedtert Hospital, and St. Luke’s Clinic, among others. An active member of the American Ccollege of Physicians, American Red Cross, Nepal Medical Council,\u00a0 ISSUP (International Society of Substance Use Professionals), and International Society for Chronic Illness (ISCI) he is dedicated to research, publications, and volunteering.<\/div>\n
<\/div>\n<\/div>\n

INTRODUCTION<\/p>\n

Tinea capitis is a cutaneous fungal infection involving the hair follicles and shaft of the scalp. It is
\nprimarily caused by dermatophytes in the genera Trichophyton and Microsporum that invade the hair
\nshaft. The existing reports of tinea capitis in infants are rare, which may be attributable to the lack of
\nreporting at this stage of life. In infancy, the presentation of alopecia, scaling, and flaking associated
\nwith tinea capitis are often misdiagnosed as eczema or seborrheic dermatitis. There are currently limited
\ntreatment guidelines and no standard of care for children less than two years of age presenting with
\ntinea capitis in the United States.<\/p>\n

CASE PRESENTATION<\/p>\n

A case of 12-day old infant was encountered when I was posted for a US clinical rotation at one of the
\nhospital in Wisconsin. The skin lesion over the scalp was examined. Then, the examination of the
\nspecimen obtained included:
\na. KOH Preparation which indicated broken hairs, spores, and an endothrix infection on the residual hair
\nb. Fungal cultures which were positive for Microsporum species<\/p>\n

TREATMENT<\/p>\n

The patient was then prescribed 15 mg\/kg\/day of Griseofulvin ultra-micro size tablets which were
\ncrushed, mixed with water and taken orally for 10 weeks. No any side effects were reported.
\nFurthermore, the patient exhibited clearance with no recurrence at the time of 3 months follow-up.
\nClinical presentation KOH mount fungal culture showing Microsporum species<\/p>\n

\"\" \"\" \"\"<\/p>\n

DISCUSSION<\/p>\n

The American Association of Pediatrics Red Book reports that griseofulvin is FDA approved for children
\ntwo years and older and terbinafine is approved for the use in those four years and older. The case
\nabove shows the successful use of griseofulvin in the treatment of tinea capitis in a 12-day old infant. In
\nsupport of this, a literature review on the treatment of tinea capitis in infants reported that children less
\nthan two years of age treated with an oral antifungal agents had nearly 100% cure rated without
\nrecurrence at the time of the time of follow up. Therefore, it is clear that tinea capitis is a curable and
\ntreatable condition in the infants.<\/p>\n

PREVENTION<\/p>\n

As ‘prevention is always better than cure’, tinea capitis can also be prevented by various measures.
\nWashing towels in warm, soapy water after each use, washing hands after touching pets and animals
\nand use of some OTC dandruff shampoos (Selenium sulphide) can help prevent the spread of the fungus
\nin children of all age group.<\/p>\n

CONCLUSION<\/p>\n

Tinea capitis is a very common condition, but rare in infant. Thus, proper knowledge, attitude and
\npractice about this cutaneous fungal infection should be present among the parents so that timely
\ndiagnosis and proper treatment can be provided to their children of all age group to get rid of it<\/p>\n","protected":false},"excerpt":{"rendered":"

    -Dr. Samyam Bickram Pathak -MBBS (KIST Medical College), TU Gold Medalist -ECFMG Certified USMLE aspirant -Outstanding Fundaraising Volunteer Award winner – Currently, Volunteer Doctor at Johns Hopkins Medicine-Suburban Hospital Dr. Samyam Bickram Pathak is a graduate of KIST Medical College and Teaching Hospital (2022). He is a Tribhuvan University Gold Medalist in Community …<\/p>\n","protected":false},"author":110,"featured_media":6469,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[39,107],"tags":[6301],"class_list":["post-6461","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-feature","category-flash-news","tag-issue-49"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2024\/08\/Tinea-4.jpg?fit=438%2C359&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/6461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/users\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6461"}],"version-history":[{"count":2,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/6461\/revisions"}],"predecessor-version":[{"id":6472,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/6461\/revisions\/6472"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/media\/6469"}],"wp:attachment":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}