Because of its clinical presentation, it might be mistaken for pyoderma, especially an abscess. Different pathogens have been implicated to cause kerion, and the predominant are dermatophytes of genus Trichophyton and Microsporum. Kerion is an inflammatory fungal infection of the hair follicle of the scalp, characterized by boggy swelling, purulent discharge, alopecia, and lymphadenopathy. Thus, clinicians must have a high index of suspicion for tinea capitis when dealing with inflammatory scalp lesions. The delay in the proper diagnosis and inappropriate treatment of this patient resulted in permanent scarring alopecia. The lesions resolved completely with systemic antifungal treatment, griseofulvin, leaving residual scarring alopecia. Later, her condition was rediagnosed as kerion based on clinical appearance and potassium hydroxide wet mount. We report a 10-year-old child whose kerion was misdiagnosed as bacterial abscess and unnecessarily incised. Kerion is an inflammatory type of tinea capitis characterized by swelling and alopecia of the scalp, which could be mistaken as bacterial infection.
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