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Tinea Infections, Cutaneous, Emergency Medicine

Aaron J. Monseau Reviewed 06/2017
 


Basics

Description

  • Superficial fungal infections of the hair, skin, or nails:

    • Usually confined to the stratum corneum layer

    • Among the most common diseases worldwide

  • Requires keratin for growth, so does no...

Diagnosis

Signs and Symptoms

  • Tinea capitis:

    • Children are predominately affected

    • Most contagious dermatophytosis

    • Alopecia, dandruff-like scaling

    • Kerion:

      • Boggy, inflammatory mass that exudes pus and causes ce...

Treatment

Pre-Hospital

Maintain universal precautions. 

Initial Stabilization/Therapy

Only in immunocompromised or septic patients 

Ed Treatment/Procedures

  • Improvement usually occurs within 1–2 wk of treat...

Follow-Up

Disposition

Admission Criteria

  • Invasive disease in immunocompromised host

  • Kerion with secondary bacterial infection

Discharge Criteria

  • Most patients may be managed as outpatients

  • Children may retu...

Pearls and Pitfalls

  • Tinea capitis is the most common pediatric dermatophyte infection

  • Itching is the main symptom in most forms of tinea, with associated hair loss in tinea capitis

  • Cellulitis frequently...

Additional Reading

  • González  U, Seaton  T, Bergus  G, et al. Systemic antifungal therapy for tinea capitis in children. Cochrane Database Syst Rev.  2007;(4):CD004685.

  • Kelly  BP. Superficial funga...

Codes

ICD9

  • 110.0 Dermatophytosis of scalp and beard

  • 110.1 Dermatophytosis of nail

  • 110.5 Dermatophytosis of the body

  • 110.3 Dermatophytosis of groin and perianal area

  • 110.2 Dermatophytosis of hand

  • 110.4 Derma...

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