PMC8249133_01
Boggy lesions over both the parietal scalp and occiput at presentation.
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fig1
With failed attempts at treatment with oral antibiotics and topical antifungals, the lesions had increased in size evolving into boggy swellings with numerous pus points and black spots, as shown in Figure 1.
(a) DTM; (b) SDA with dermatophyte growth and features of T. tonsurans.
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fig2
Also, the dermatophyte test medium (DTM) at 25 C identified the growth of dermatophyte, as shown in Figure 2.
LPCB mount. (a) Curved septate hyphae as seen on the 5th day. (b) (i) Abundant microconidia and few macroconidia. (ii) Intercalary and terminal chlamydospores. (c) Typical "bird on wire" pattern of microconidia.
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fig3
Histopathological features of the endothrix type of invasion.
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fig4
Follow-up at 1 week.
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fig5
A gradual and significant clinical improvement was noted, as shown in Figure 5.