A Case of Kerion Celsi Caused by Microsporum gypseum (Arthroderma gypseum ) in a Child
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- Iwasawa Mari
- Division of Dermatology, Narita Red Cross Hospital Department of Dermatology, School of Medicine, Chiba University
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- Yorifuji Kazuhiko
- Division of Dermatology, Narita Red Cross Hospital
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- Sano Ayako
- Medical Mycology Research Center, Chiba University
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- Takahashi Yoko
- Medical Mycology Research Center, Chiba University
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- Nishimura Kazuko
- Medical Mycology Research Center, Chiba University
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抄録
We report a case of kerion celsi caused by Microsporum gypseum and present some epidemiological statistics and a distribution of the mating types of M. gypseum . A 10-year-old healthy boy living in Narita, Chiba Prefecture, visited the Narita Red Cross Hospital in October 2004 with complaints of a scaly erythematous plaque and alopecia. Before the visit, he had been treated with steroid lotions and antibiotics without success. A direct examination of the diseased hair shaft using a potassium hydroxide (KOH) solution revealed the presence of fungal hyphae outside the hair shafts. The patient showed a positive reaction to the trichophytin test. The fungus isolated from the lesion was identified as M. gypseum on the basis of its morphological and physiological characteristics and the results of molecular biological analysis. The sequence of the gene coding for the internal transcribed spacer (ITS) 1 region of ribosomal RNA (ITS 1 rDNA) was homologous to that of Arthroderma gypseum (DDBJ accession no. AB193684). The isolate was confirmed to be A. gypseum (-) mating type on the basis of crossing experiments with (+) and (-) mating types of A. gypseum, A. incurvatum , and A. fluvum . The patient was successfully treated with 50 mg/day (1.6 mg/kg/day) of itraconazole for 4.5 months.
収録刊行物
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- 日本医真菌学会雑誌
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日本医真菌学会雑誌 50 (3), 155-160, 2009
日本医真菌学会
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詳細情報 詳細情報について
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- CRID
- 1390001204213014912
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- NII論文ID
- 10026093682
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- NII書誌ID
- AN10166867
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- COI
- 1:STN:280:DC%2BD1MrjsFWltw%3D%3D
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- ISSN
- 18820476
- 09164804
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- NDL書誌ID
- 023254114
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- PubMed
- 19654448
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可