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Case Study 3

Case Study 3. Susana Vargas, Shawn Pettis and, Julie Maldonado. 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

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Case Study 3

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  1. Case Study 3 Susana Vargas, Shawn Pettis and, Julie Maldonado

  2. 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

  3. 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

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

  5. 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?

  6. The Result • Ringworm is the Diagnosis!

  7. Care & Treatment • Primary Antimicrobial Agent of Choice is Terbinafine (Lamisil) • Alternate Choices are Itraconazole, Fluconazole, or Griseofulvin

  8. 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

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