Successful use of silver impregnated hydrofiber dressing in the treatment of kerion celsi caused by Microsporum gypseum.

A method of treatment of tinea capitis is presented in a case of a 10-year-old boy who was referred to the pediatric surgical unit for the treatment of a skin lesion on the scalp, which had persisted for more than two months. The initial dermatologic examination led to the clinical diagnosis of inflammation of the scalp, while mycological analysis revealed an uncommon dermatophyte agent, Microsporum gypseum, in the culture. The lesion was subsequently treated with local and oral antifungal agents, but antifungal therapy was discontinued due to the resulting liver dysfunction and was replaced by treatment with a silver impregnated hydrofiber dressing. During one-month treatment, the patient's scalp lesion cleared completely. The treatment of tinea capitis is discussed.