• Shuyue Wei, Haiying Wang, Ailan Li, and Chunying Yuan.
• Department of Dermatology, Dongying People s Hospital, Dongying, Shandong, China.
• Medicine (Baltimore). 2022 Apr 1; 101 (13): e28936e28936.

RationaleKerion Celsi, a severe form of tinea capitis, is generally caused by zoophilic and geophilic fungi. This is the first report of an unusual case of kerion Celsi caused by Microsporum gypseum in a 6-year-old boy.Patient ConcernsA 6-year-old boy presented to the dermatology clinic with the complaint of multiple pustules, edematous plaques over the scalp with hair loss for 1 month.DiagnosisClinical and laboratory investigations, including reverse transcriptase-quantitative polymerase chain reaction, confirmed M gypseum causing kerion Celsi.InterventionsUpon combination therapy using oral itraconazole and oral prednisolone along with the topical terbinafine, kerion Celsi remitted in the patient.OutcomeNew hair growth was noted during the 4-month follow-up.LessonWe presented the first case of kerion Celsi infection secondary to M gypseum that was probably transmitted from a guinea pig.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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