Document Detail

Inflammatory tinea pedis/manuum masquerading as bacterial cellulitis.
MedLine Citation:
PMID:  12413346     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Tinea pedis and tinea manuum in children are more common than previously recognized. Clinical presentations of dermatophyte infections may vary in children and may be difficult to diagnose. OBJECTIVE: To show the necessity of potassium hydroxide preparations and/or fungal cultures in assessing suspicious cases of cellulitis in children who may have dermatophyte infections. PATIENTS: We describe 4 children with inflammatory tinea pedis or tinea manuum who were initially misdiagnosed as having bacterial cellulitis. INTERVENTION: A potassium hydroxide examination was performed on 3 patients. Fungal cultures were performed on 2 patients. RESULTS: Inflammatory/bullous dermatophyte infections were detected by potassium hydroxide examination in all 4 patients and all 4 children successfully responded to topical antifungal therapy. CONCLUSIONS: These cases demonstrate that inflammatory tinnea pedis/manuum can masquerade as cellulitis in children. Early potassium hydroxide examination can allow appropriate antifungal treatment to be initiated before fungal culture results are finalized.
Susan M Sweeney; Karen Wiss; Susan Bayliss Mallory
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  156     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-04     Completed Date:  2002-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1149-52     Citation Subset:  AIM; IM    
Department of Medicine, Division of Dermatology, University of Massachusetts Medical School, Worchester 01605, USA.
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MeSH Terms
Cellulitis / diagnosis*
Diagnosis, Differential
Hand Dermatoses / diagnosis*
Hydroxides / diagnostic use*
Impetigo / diagnosis*
Mycology / methods*
Potassium Compounds / diagnostic use*
Tinea / diagnosis*
Tinea Pedis / diagnosis*
Reg. No./Substance:
0/Hydroxides; 0/Potassium Compounds; 1310-58-3/potassium hydroxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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