Indian Journal of Dermatology
CORRESPONDENCE
Year
: 2010  |  Volume : 55  |  Issue : 2  |  Page : 201-

Neonatal tinea corporis


Ashok Kumar Khare, Lalit Kumar Gupta, Asit Mittal, CM Kuldeep, Anshu Goyal 
 Department of Dermatology, Venereology & Leprology, R.N.T. Medical College, Udaipur - 313 001, Rajasthan, India

Correspondence Address:
Ashok Kumar Khare
4-5, Mayurvan Colony, Panerion ki Madri, Udaipur - 313 002, Rajasthan
India




How to cite this article:
Khare AK, Gupta LK, Mittal A, Kuldeep C M, Goyal A. Neonatal tinea corporis.Indian J Dermatol 2010;55:201-201


How to cite this URL:
Khare AK, Gupta LK, Mittal A, Kuldeep C M, Goyal A. Neonatal tinea corporis. Indian J Dermatol [serial online] 2010 [cited 2021 Jan 23 ];55:201-201
Available from: https://www.e-ijd.org/text.asp?2010/55/2/201/62741


Full Text

Sir,

Fungal infection of skin in the full-term new born is uncommon except for candidal vesicopustular diaper rash and thrush. [1] We report a 20-day-old full-term neonate presenting with 10 day history of multiple, scaly, erythematous, annular plaques with raised margins typical Of tinea corporis over trunk [Figure 1] and extremities. None of the family members showed any evidence of dermatophytosis. There was no history of keeping pets in the family. KOH examination showed numerous septate branching hyphae typical of dermatophytes. Culture on Sabouraud's dextrose agar media grew Trichophyton rubrum. The baby was treated with 1% topical clotrimazole cream with complete resolution of lesions in 2 weeks.

The cases of neonatal tinea are rarely encountered in dermatology clinics. This could possibly be due to high sebum secretion rates in neonates. [2] Sebum has been shown to have antibacterial and antifungal properties. [2]

Although neonatal tinea is rare, cases [3],[4],[5] have been reported occasionally. The appearance of lesions at the age of 10 days in our case was interesting. The incubation period of tinea infection varies from 1 to 3 weeks. However, a shorter incubation period has also been shown experimentally. [6] The source of infection could not be traced in this case. Asymptomatic family member or unidentified contact as a carrier of trichophyton rubrum cannot entirely be ruled out. Such a carrier state has been reported. [7]

References

1Margileth AM. Dematologic conditions. 5 th ed. Neonatology Pathophysiology and management of newborn. In: Avery GB, Fletcher MA, Mac Donald MG, editors. Philadelphia: Lippincott, Williams and Wilkins; 1999. p. 1323-60.
2Atherton DJ. The Neonate. 5 th ed. Textbook of Dermatology. In: Champion RH, Burton J, Ebling FJ, editors. Oxford: Blackwell Scientific Publications; 1992. p. 383-4.
3Dhar S, Jain S. Tinea facei in a newborn. Indian J Dermatol 1996;41:77.
4Khare AK, Jain SK, Gupta LK. Tinea corporis in a 2 day old infant. Indian J Dermatol 2001;46:125-6.
5Singhi MK, Gupta LK, Ghiya BC, Dhabhai R. Ringworm of the scalp in a 5 day old neonate. Indian J Dermatol Venereol Leprol 2004;70:116-7.
6Singh G. Experimental Trichophyton infection of intact human skin. Br J Dermatol 1973;89:595-9.
7Sharma V, Hall JC, Knapp JF, Sarai S, Galloway D, Babel DE. Scalp colonization by Trichophyton tonsurans in an urban pediatric clinic. A symptomatic carrier state. Arch Dermatol 1988;124:1511-3.