A case of tinea capitis of mixed etiology produced by both Trichophyton tonsurans var. sulfureum and Microsporum audouini, and characterized by multiple, small kerion formation was complicated and obscured by staphylococcal pyoderma, fever, and cervical lymphadenopathy. The problems of diagnosis in combined mycologic and bacterial infections and in mixed mycologic infections of the scalp are discussed. The patient responded completely to dual therapy with penicillin and griseofulvin, but developed superinfection with Candida albicans and Aspergillus glaucus during the fourth week of therapy with griseofulvin.
Varadi DP, Rippon JW. Scalp Infection of Triple Etiology. Arch Dermatol. 1967;95(3):299-301. doi:10.1001/archderm.1967.01600330057011