Case Study 3

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Case Study 3

• Susana Vargas, Shawn Pettis and, Julie Maldonado

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Case Study Info

• 7 yr old African American Female
• Large Patches of Hair Loss Broken Shafts
• Inflammation on Scalp
• Lesions on Neck Chin
• Several Annular Spreading Lesions on Trunk
• Outer Edges of Lesions Raised / Center dry
  Scaly
• Intensive Itching
• Diameter of Lesions had Grown Spreading

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Tests Done

• Skin Scraping for KOH Examination Culture
• Area Rubbed with Moistened Gauze Examined Under
  Microscope
• Scrapings Were Inoculated Onto BAP, MSA, EMB,
  Fungal Media
• Ordered UV Exam of Scalp Region
• Fluorescence was present

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Differential Diagnosis

• Ringworm Tinea capitis or Tinea corporis
• Impetigo / Staph infection
• Insect Bites
• Contact Dermatitis / Allergy
• Mycobacterium abscessus

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Further Information Needed

• The Results of the Tests Performed
• Has she been exposed to animals?
• Is she Currently Under any Treatment?
• Has she Traveled Recently?

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The Result

• Ringworm is the Diagnosis!

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Care Treatment

• Primary Antimicrobial Agent of Choice is
  Terbinafine (Lamisil)
• Alternate Choices are Itraconazole, Fluconazole,
  or Griseofulvin

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How Spread Precautions

• Through Contact With Animals
• Poor Hygiene and Prolonged Wetness
• Contagious / Contact With Infected People or
  Clothing
• To Prevent From Spreading all clothing and
  household items should be cleaned and dried
  thoroughly before reuse
• Always Wash Hands
• No Contact With Other Children Until Lesions are
  Gone