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Kerion: a great mimicker

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A previously well 9yearold boy presented to the outpatients’ clinic with a tender, swollen occipital scalp lesion progressing over one month’s duration; erythema, scaling, focal alopecia and occipital lymphadenopathy were… Click to show full abstract

A previously well 9yearold boy presented to the outpatients’ clinic with a tender, swollen occipital scalp lesion progressing over one month’s duration; erythema, scaling, focal alopecia and occipital lymphadenopathy were noted (Box 1, A). He was systemically well with no fever. There was no response to 2 weeks’ oral cephalexin. He was admitted for surgical drainage; scalp scrapings and surgical aspirates were sent for bacterial and fungal cultures. He was discharged the following day with 2 weeks’ oral cephalexin and topical scalp miconazole.

Keywords: great mimicker; kerion great

Journal Title: Medical Journal of Australia
Year Published: 2022

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