Susana Vargas, Shawn Pettis and, Julie Maldonado 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 Outer Edges of Lesions Raised / Center dry & Scaly Intensive Itching Diameter of Lesions had Grown & Spreading
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
Differential Diagnosis Ringworm Tinea capitis or Tinea corporis Impetigo / Staph infection Insect Bites Contact Dermatitis / Allergy Mycobacterium abscessus
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?
The Result Ringworm is the Diagnosis!
Care & Treatment Primary Antimicrobial Agent of Choice is Terbinafine (Lamisil) Alternate Choices are Itraconazole, Fluconazole, or Griseofulvin
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