MANAGEMENT OF RINGWORM | MARTINS LIBRARY

Tinea   capitis  requires systemic treatment because antifungal creams are unable to penetrate the hair shaft sufficiently to clear the infection. Furthermore, the use of topical antifungal treatment alone may contribute to the creation of carriers. The concept of carriers is controversial but describes patients whose symptoms and clinical sings are mammal but who are still  mycologically positive and presumed capable of transmitting infection. 

The only licensed treatment is oral griseofulvin. It is usually given at a dose of 10mg/kg for six to eight weeks. However, T. tonsurans  seems resistant in some cases, and longer treatment may be required at doses of up to 20- 25mg/kg. Because treatment takes a long time. Higgins et al (2000)

REFERENCES

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Omar, A. A. (2000). Ringworm of the scalp in primary school children in Alenandria: infection and carriage. Eastern Mediteranean Health Journal. 6(5): 961- 967.

Rippon, J. W. (1974). Medical Mycology: The pathogenic fungi and pathogenic Actinomycetes. W.B. sunders, C.phsadephia London Toronto, 74pp.

Temple M.E,  Staats  C.C  Korstanje M.J.  (1999).  Fungal infection in  the  Netherlands  prevailing  fungi and  pattern infection  dematol. 190: 39 -42 

Venugopal, P.V, Venugopal, T.V. (1993). Tinea capitis in sandi Arania, int. journal Dermatologist. 32: 39 – 40.

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Woodroffe, R.C.S, Shaw, D.A.(1974) Natural control and ecology of microbial populations on skin and hair. In FA skinner and IG carr (eds). The normal microbial flora of man.Academic press, land, new look, 13-4pp.