Posts tagged "tinea capitus"

Griseofulvin Tinea Capitis

Griseofulvin Tinea Capitis

Tinea capitis, or ringworm of the scalp, is the most common dermatophyte infection among children.  This is a problem worldwide but approximately 3 to 8 percent of American children are affected, and up to one third of in-house contacts are asymptomatic carriers, meaning they show no outward signs of the infection. Tinea infections are usually spread by humans but may also be passed to humans from animals. Adolescent and adult infections are uncommon.

The three primary dermatophytes most commonly seen are Trichophyton tonsurans, Microsporum audouinii and Microsporum canis. Anti-fungal medications, taken by mouth, are used to treat the infection. There are several different options that are often used to treat this condition.  Griseofulvin has long been the standard therapy for tinea capitis.  It is currently the only antifungal agent labeled by the U.S. Food and Drug Administration for this condition. Griseofulvin is an antibiotic derived from a species of Penicillium.

Griseofulvin acts systemically to inhibit the growth of Trichophyton, Microsporum, and Epidermophyton genera of fungi. With the use of an anti-fungal like griseofulvin Tinea Capitis can be treated effectively.  Fungistatic amounts are deposited in the keratin, which is gradually exfoliated and replaced by non-infected tissue.  Griseofulvin absorption from the gastrointestinal tract varies considerably from one individual to the next. This is mainly because of insolubility of the drug in the upper G.I. tract. The peak serum level found in fasting adults given 0.5 gm occurs at about four hours and ranges between 0.5 and 2.0 mcg/mL.

As previously mentioned some individuals do not absorb at the same rate as others and tend to attain lower blood levels at all times. This may explain why some patients respond better to this type of treatment than others. Better blood levels can probably be attained in most patients if Griseofulvin is taken after ingesting a meal with a high fat content.

Some of the symptoms of tinea capitis or scalp ringworm to watch for are bald patched areas, where hair that has broken off from the scalp, itching of the scalp, pus-filled lesions or sores on the scalp, round, scaly lesions on the scalp that may be inflamed, and small black dots on the scalp. Tinea capitis may be extremely persistent, and it may return after treatment. It has been found that in many cases it goes away on its own as a person reaches puberty.  Good general hygiene is a key factor to prevent and treat tinea infections.


Tinea Capitis Fungal Infection

Tinea Capitis Fungal Infection

A mold-like fungus called Tinea capitis is a fungal infection of the scalp. Tinea capitis fungal infection is widespread in some urban areas, particularly in children of Afro-Caribbean heritage, in North America, Central America, and South America.  It is common in parts of Africa and India. In Southeast Asia, the rate of infection has been reported to have decreased dramatically from fourteen percent to slightly over one percent in the last fifty years.  This said to be because of improved general sanitary conditions and improved personal hygiene practices in these areas. In northern Europe, occurrence of the disease is irregular at best.

In the United Kingdom and North America, T tonsurans is credited for more than ninety percent of cases of Tinea capitis fungal infection. In the non-urban areas, infrequent infections acquired from puppies and kittens are due to M canis, although this accounts for less than ten percent of cases in the United Kingdom. Occasional infection comes from other animal hosts like T verrucosum, from cattle, occur in more rural areas.

Tinea capitis can be persistent and very contagious. Tinea capitis is also called ringworm of the scalp.  Affecting children almost exclusively, this is a skin disorder that is caused by fungal organisms known as dermatophytes.  They cause scalp ringworm by outwardly contaminating certain kinds of tissue found in hair, skin, and nails. Tinea capitis is predominantly a disease of preadolescent children. It accounts for up to 92.5% of dermatophyte infections in children less than ten years of age. The disease is rare in adults, although occasionally, it has been found to affect the elderly. Tinea capitis occurrence is widespread in some urban areas in the United States.

Bald, patchy, areas where the hair has broken off from the scalp is just one of the symptoms of ringworm or Tinea capitis fungal infection.  Others are itching of the scalp, pus-filled lesions or sores on the scalp, round, scaly lesions on the scalp that may be inflamed, and small black dots on the scalp. This fungus is very contagious and easily passed from one person to another.  There is sometimes a problem with infection and re-infection within families, communities, and schools.

Tinea capitis symptoms to watch for are thickened, scaly, and sometimes boggy swellings, or expanded raised red rings. Common symptoms are severe itching of the scalp, dandruff, and bald patches where the fungus has rooted itself in the skin. Tinea capitis often presents identically to dandruff or seborrheic dermatitis.


Ringworm Scalp Tinea Capitis

Ringworm Scalp Tinea Capitis

When dealing with skin infections such as ringworm scalp (tinea capitis) and feet (tinea pedis) are the more common areas affected by this type of infection.  Ringworm of the scalp is a very common fungal infection but it can be treated and kept from spreading to others. Fungal organisms known as dermatophytes can cause scalp ringworm by on the surface infecting certain kinds of tissue found in hair, skin, and nails. This forms the crusty, scaly patches related with scalp ringworm. Scalp ringworm (Tinea capitis) is a very widespread and extremely common fungal infection predominately seen in children the world round. Children from four to fourteen years are the most likely to develop tinea capitis symptoms, although it can occasionally appear in adults.

Ringworm of the scalp (tinea capitis) is also one of the more common causes of hair loss. On some occasions it may be quite easy to recognize the infection because of the scalp symptoms which can include a red circular lesion, hair loss, and a scaly border that may be itchy. Scalp ringworm signs and symptoms can often be more subtle though, with no apparent signs of scaling or itching, and broken hairs instead of hair loss which is called black dot tinea capitis. Some of the symptoms of tinea capitis or scalp ringworm to watch for are bald patched areas, where hair that has broken off from the scalp, itching of the scalp, pus-filled lesions or sores on the scalp, round, scaly lesions on the scalp that may be inflamed, and small black dots on the scalp.
Areas that are frequently moist from perspiration, skin folds that stay damp are ripe for a fungal infection attack. The fungi that cause ringworm tend to grow and thrive in warm moist areas of the body.  The feet, the groin and the scalp are good examples of the areas most affected.  You may experience bald patches where hair would normally grow on the scalp.  The fungus lives on the dead tissue of the skin and leaves a lesion.  Ringworm can only live on the dead layer of keratin protein on top of the skin. It has been found that in many cases as a person reaches puberty it goes away on its own.  Good hygiene is a key factor to generally prevent and treat tinea infection of the skin because it may be aggravatingly persistent, and come back again after treatment.


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