Kerion of the pubis and vulva with bacterial superinfection: a rare occurrence

BMJ Case Rep. 2019 Aug 28;12(8):e230320. doi: 10.1136/bcr-2019-230320.

Abstract

Kerion is a severe hypersensitivity reaction to fungal infection that is rarely seen in the groin. Frequent shaving of pubic hair and religious conservatism surrounding genital hygiene are common among Bedouin women in the Negev Desert, and may predispose to kerion. This case highlights the clinical course of a 20-year-old Bedouin woman who presented with severe kerion celsi of the pubis and vulva with secondary bacterial infection. The patient was successfully treated with intravenous antibiotics, oral antifungal medication and wet topical dressings. The case outlines the risk factors and treatment for severe kerion celsi of the groin, as well as possible preventive measures that may reduce its incidence.

Keywords: dermatology; global health; healthcare improvement and patient safety; vulvovaginal disorders.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Administration, Oral
  • Anti-Bacterial Agents / therapeutic use
  • Antifungal Agents / therapeutic use
  • Bacterial Infections / diagnosis
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / etiology
  • Female
  • Groin / microbiology
  • Groin / pathology
  • Humans
  • Pubic Bone / microbiology*
  • Pubic Bone / pathology
  • Tinea / complications*
  • Tinea / diagnosis
  • Tinea / drug therapy
  • Tinea Capitis / complications*
  • Tinea Capitis / diagnosis
  • Tinea Capitis / drug therapy
  • Treatment Outcome
  • Trichophyton / isolation & purification
  • Vulva / microbiology*
  • Vulva / pathology
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents