A child has inflammatory tinea capitis. Culture identifies Microsporum canis and there is no hepatic contraindication. Which systemic treatment is

Question

A child has inflammatory tinea capitis. Culture identifies Microsporum canis and there is no hepatic contraindication. Which systemic treatment is preferred on organism-specific efficacy grounds?

Accepted Answer

Use oral griseofulvin and an adjunctive sporicidal shampoo to reduce transmission

Answer

Use oral terbinafine because it is uniformly superior for every dermatophyte species

Answer

Use topical ketoconazole shampoo alone until culture becomes negative

Answer

Use oral griseofulvin because Microsporum infection responds better than to terbinafine

Answer

Use oral flucloxacillin because a kerion represents primary bacterial folliculitis

Tinea Capitis — SCE Dermatology MCQ

A child has inflammatory tinea capitis. Culture identifies Microsporum canis and there is no hepatic contraindication. Which systemic treatment is preferred on organism-specific efficacy grounds?