The Results of the Hospitalized Treatment of Kerion Celsi

Thi Huyen Tran; Nguyen Van Hoang

doi:10.3889/oamjms.2023.11575

Authors

Thi Huyen Tran Department of Dermatology and Venereology, Hanoi Medical University, Hanoi, Vietnam; Department of Outpatient, National Hospital of Dermatology and Venereology, Hanoi, Vietnam https://orcid.org/0000-0002-9794-5718
Nguyen Van Hoang Department of Outpatient, National Hospital of Dermatology and Venereology, Hanoi, Vietnam

DOI:

https://doi.org/10.3889/oamjms.2023.11575

Keywords:

Griseofulvin, Kerion celsi, Incision, Itraconazole, Scalp fungus

Abstract

BACKGROUND: Kerion celsi is quite common in children, accounting for a relatively high rate in the form of a scalp fungus, caused by Trichophyton or Microsporum fungi. Clinical manifestations include painful crusty lesions covered with follicular pustules and systemic symptoms. Treatment requires a combination of several methods.

AIM: This study was conducted to describe the results of inpatient treatment of kerion celsi.

METHODS: This is a cross-sectional descriptive study on 25 in-patients with kerion celsi at the National Hospital of Dermatology from January 2017 to December 2017.

RESULTS: The results showed that male patients accounted for 64%, female patients accounted for 36%; 4–7 years old accounted for 52%. The mean number of days of in-patient treatment was 9.9 days. All patients received systemic antifungals in combination with topical antifungals and systemic antibiotics. There were 24/25 patients with incisions, drainage, and pus cleaning. The rate of lesion clearing after 2–4 weeks was 13%, after 4–6 weeks was 34.8%, and over 6 weeks was 52.2%. After 6 months, all patients had hair regrowth. The rate of patients with scars after treatment was 69.6%.

CONCLUSION: Antifungal therapy along with incision, and cleaning of pus gives gcood results in the treatment of kerion celsi, the most common complication is scarring.

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