Report of a Rare Case of Tinea Capitis Favosa Caused by Trichophyton Schoenleinii in Iran Publisher



Hossein Pour L ; Hashemi S J ; Boroujeni Z B ; Abolfathi A ; Getso M I ; Raiesi O
Source: Current Medical Mycology Published:2026

Abstract

Background and Purpose: Favus, a severe form of tinea capitis, is primarily caused by Trichophyton schoenleinii and can lead to permanent scarring alopecia if untreated. Although its prevalence has declined globally, outbreaks persist in regions with socioeconomic challenges and immigrant populations. Case Presentation: We report an 8-year-old Afghan boy residing in Iran who presented with diffuse alopecia and erythematous, purulent scalp lesions. Direct microscopy, culture, and ITS-PCR confirmed infection with T. schoenleinii. The isolate exhibited high susceptibility to itraconazole, ketoconazole, and terbinafine, with reduced activity for fluconazole. Treatment with topical ketoconazole and oral itraconazole (5 mg/kg/day for six months) resulted in clinical resolution. Conclusion: Early recognition of favus, coupled with accurate identification and susceptibility-guided therapy, is crucial to prevent long-term complications. Surveillance of T. schoenleinii in vulnerable populations, including immigrants, remains vital to inform public health strategies and mitigate the risk of re-emergence. Copyright© 2025, Published by Mazandaran University of Medical Sciences on behalf of Iranian Society of Medical Mycology and Invasive Fungi Research Center.