Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three large scalp lesions, which had appeared in the first week of life. The lesions were annular with raised papular and pustular borders and flat, hyperkeratotic central areas (Panel A). The baby’s mother, who was originally from Somalia, had similar skin lesions on her upper trunk. Scalp scrapings and a swab cultured on Sabouraud’s dextrose agar grew yellow-colored colonies with radiating hyphae (Panel B). Polymerase-chain-reaction assays of extracted DNA identified trichophyton species, and DNA sequencing revealed Trichophyton soudanense. Tinea capitis, a fungal infection of the scalp commonly known as ringworm, was diagnosed...The patient was initially treated with intravenous fluconazole and topical clotrimazole and octenidine therapy; after 1 week of treatment, the lesions were resolving, leaving hyperpigmentation (Panel C). He was treated with oral fluconazole for an additional 2 weeks. #clinical #photo #NEJM #tinea #capitis #ringworm #derm
