Tinea

(Redirected from Tinea capitus)

Background

  • Fungal infection caused by dermatophytes that feed on keratin

Tinea Types

Tinea Corporis
Tinea Capitis

Clinical Features

Differential Diagnosis

Evaluation

Management

  • Topical antifungal treatment for all except tinea capitis
  • Terbinafine 1% BID x2-3wk
  • Clotrimazole 1% BID x2-3wk
    • Must use for 7-10d beyond resolution of lesions
  • Capitis
  • Kerion[3]
    • Oral griseofulvin, itraconazole, or terbinafine for 6-8 wks
    • Cephalexin 40mg/kg/d in 4 divided doses in addition to systemic antifungal treatment if there is evidence or high risk of bacterial secondary infection
    • Ketoconazole shampoo, isolated towels decrease spread to household members

Disposition

  • Discharge

See Also

References

  1. Fleece D, Gaughan JP, Aronoff SC. Griseofulvin versus terbinafine in the treatment of tinea capitis: a meta-analysis of randomized, clinical trials. Pediatrics. 2004;114(5):1312-1315. doi:10.1542/peds.2004-0428
  2. Andrews MD, Burns M: Common tinea infections in children. Am Fam Physician 2008;77(10):1415-1420.
  3. Gnanasegaram M. Kerion. DermNet NZ. 2012. http://www.dermnetnz.org/fungal/kerion.html