Vulvar Majocchi granuloma and kerion formation in an immunocompetent female

Dermatol Online J. 2019 Sep 15;25(9):13030/qt4qv91478.

Abstract

We report a rare case of vulvar Majocchi granuloma and kerion formation secondary to Trichophyton in an immunocompetent woman. The patient responded well to oral terbinafine and a short course of oral corticosteroids with a slow taper. Resolution of deep dermatophytosis requires prompt pathogen identification and treatment to avoid scarring and hair loss. Herein, we aim to increase clinical awareness and early recognition of this atypical presentation of a Majocchi granuloma with kerion formation.

Publication types

  • Case Reports

MeSH terms

  • Abscess / etiology
  • Administration, Oral
  • Adult
  • Antifungal Agents / therapeutic use
  • Female
  • Granuloma / drug therapy
  • Granuloma / microbiology*
  • Granuloma / pathology
  • Humans
  • Skin / pathology*
  • Terbinafine / therapeutic use
  • Tinea / complications*
  • Tinea / drug therapy
  • Trichophyton*
  • Vulvar Diseases / drug therapy
  • Vulvar Diseases / microbiology*
  • Vulvar Diseases / pathology

Substances

  • Antifungal Agents
  • Terbinafine

Supplementary concepts

  • Trichophyton infection