Tinea faciei in a child complicated by nosocomial infection with Stenotrophomonas maltophilia – a case report

Hanna Myśliwiec; Iwona Flisiak; Anna Baran; Bożena Chodynicka

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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6/2010
vol. 97

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abstract:

Original paper

Tinea faciei in a child complicated by nosocomial infection with Stenotrophomonas maltophilia – a case report

Hanna Myśliwiec

,

Iwona Flisiak

,

Anna Baran

,

Bożena Chodynicka

Przegl Dermatol 2010, 97, 386–389

Online publish date: 2011/01/03

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Introduction . Tinea faciei is quite a rare infection in the developed countries. Proper diagnosis of the causative pathogen is essential for successful treatment.

Objective . To present the case of an 11-year-old patient in whom wrong diagnosis and treatment led to complications and finally to face deformation.

Case report . A small inflammatory skin lesion appeared on the chin and extended quickly to form a deep infiltration. Despite surgical incision, drainage and broad-spectrum antibiotics, the skin lesion progressed to an ulceration of 2 × 3 cm in diameter with necrotic crust. In direct mycological smear hyphae were observed and in the culture Stenotrophomonas maltophilia was found. Systemic treatment with terbinafine and trimethoprim-sulfamethoxazole led to almost complete healing with a scar and chin deformation as a result.

Conclusions . In the differential diagnosis of skin lesions on the chin fungal infection should always be considered, confirmed or ruled out before starting the therapy.

keywords:

Tinea faciei in a child complicated by nosocomial infection with Stenotrophomonas maltophilia – a case report

Hanna Myśliwiec , Iwona Flisiak , Anna Baran , Bożena Chodynicka

tinea faciei, nosocomial infection, Stenotrophomonas maltophilia

Hanna Myśliwiec

,

Iwona Flisiak

,

Anna Baran

,

Bożena Chodynicka