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Outbreak ofTinea capitis caused by Microsporum ferrugineum in Thailand
Authors:Wanee Wisuthsarewong  Angkana Chaiprasert  Suchitra Viravan
Affiliation:(1) Department of Pediatrics Faculty of Medicine, Siriraj Hospital, Mahidol University, 10700 Bangkok, Thailand;(2) Department of Microbiology Faculty of Medicine, Siriraj Hospital, Mahidol University, 10700 Bangkok, Thailand
Abstract:There was an outbreak ofTinea capitis at the Pak-kred Home for Mentally and Physically Handicapped Babies, Bangkok, Thailand in 1993. One hundred and thirty-eight cases were diagnosed as tinea capitis based on clinical signs and positive laboratory investigations. The results of Wood's light examination, KOH preparation and fungal culture were positive in 89.9, 75.9 and 27.4% respectively. The non-inflammatory form had a higher rate of positive KOH and culture than in the inflammatory form.Microsporum ferrugineum was the major pathogen (66.7%) and most of its infections (80.4%) caused a non-inflammatory type of tinea capitis. Griseofulvin, in a dosage of 10–15 mg/kg/day and selenium sulfide shampoos, yielded an 84.8% cure rate within 14.9 weeks. No recurrence or obvious adverse reactions were observed.
Keywords:diagnosis  Microsporum ferrugineum  tinea capitis  treatment
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