Childhood diffuse alopecia caused by Serratia marcences
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Abstract
Childhood alopecia is a rare disease, with an estimated 1% of pediatric dermatological consultations. Skin, eye and tissue infections by Serratia marcescens are rarely reported. We report a case of a female patient, two years and three months old, with painful lesions in the biparietal region of the scalp for two months, with an exulcerated, crusted aspect, associated with serosanguinolent, purulent secretion and with alopecia. She was initially treated with antifungal and empirical, systemic and topical antibiotic therapy, according to the Kerion Celsi hypothesis, without improvement. The isolated growth of the bacterium Serratia marcescens was observed, thus establishing a diagnosis of alopecia by bacterial etiology, and treatment with sulfamethoxazole/trimetropin (30 + 6 mg/Kg/d) was started for ten days, with the resolution of the infectious condition and onset of area repilation of alopecia, leaving only small scarred areas as a sequel.
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