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紫色毛癣菌所致老年头癣继发头面部带状疱疹1例

冉昕 汪盛 王琳 冉玉平

中国真菌学杂志2017,Vol.12Issue(5):291-292,294,3.
中国真菌学杂志2017,Vol.12Issue(5):291-292,294,3.

紫色毛癣菌所致老年头癣继发头面部带状疱疹1例

A case of tinea capitis caused by Trichophyton violaceum and supervene of craniofacial herpes zoster in an elderly patient

冉昕 1汪盛 1王琳 1冉玉平1

作者信息

  • 1. 四川大学华西医院皮肤性病科,成都610041
  • 折叠

摘要

Abstract

A 62-year-old female patient,whose scalp developed pruritus erythema for 1 month,exacerbated to pustules for 3 weeks,formed scabs for 1 week.KOH direct microscopic examination finds typical hyphae on scalp scales.Culture on Sabo uraud Dextrose Agar (SDA),with 25 ℃ for 25 days,shows purple colonies with reddish periphery.The pathogen's DNA was extracted for PCR amplification and the products was sequenced and identified as Trichophyton violaceum,which confirmed the patient's diagnose of tinea capitis.She was administrated itraconazole 200 mg twice a day taken with milk,combine with 1% naftifine-0.25 % ketoconazole cream,after wash with 2% ketoconazole shampoo.Her scalp scales are improved 3 weeks later.However,band clustery tension blisters appeared on right scalp,right ear,right cheek,lips and underjaw,which was diagnosed as herpes zoster.The lesion was controlled after we prescribed brivudine 125 mg daily for 9 days.

关键词

头癣/紫色毛癣菌/伊曲康唑/带状疱疹/溴夫定

Key words

tinea capitis/Trichophyton violaceum/itraconazole/herpes zoster/brivudine

分类

医药卫生

引用本文复制引用

冉昕,汪盛,王琳,冉玉平..紫色毛癣菌所致老年头癣继发头面部带状疱疹1例[J].中国真菌学杂志,2017,12(5):291-292,294,3.

中国真菌学杂志

OACSCDCSTPCD

1673-3827

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