Page 97 - LECTURE NOTES

b) Clinical manifestation

¾ Clinically, one or several round patches of redness and scaling are present on
scalp

¾ Small pustules or papules may be seen at the edges of such patches.

¾ As the hair in the affected areas are invaded by the fungi, the fungi become
brittle and often break off at or near the surface of the scalp, resulting in patchy

loss of hair. Most cases of tinea capitis heal without scarring, so the hair loss is
temporary.

¾ It could be complicated by secondary bacterial infection

c) Management and nursing intervention

1. Griseofulvin and other anti fungal agents are administered systemically
according to the prescription. Advice to take griseofulvin after meal since it is

lipid soluble antifungal

2. The hair should be shampooed two or three times weekly with antifungal
shampoo.

3. Topical antifungal preparation should be applied preferably white field

ointment.
- Patient and family should be advised to set up a hygienic regimen for

home use
- Family member should have a separate comb & brush

- All infected members of the family & household must examined and
treated.

4.4.6 Tinea cruris (jock itch)
Tinea cruris is a ringworm infection of the groin, which may extend to the inner thighs

and buttock area. It most frequently occurs in young, obese person and those who wear
tight under clothing and commonly associated with tinea pedis.

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