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Microbiology · Mycology: favus
Sample itemA child from a rural area has yellowish cup-shaped crusts centred on scalp hairs, with a mousy odour and scarring alopecia. Which dermatophyte is the usual cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Trichophyton schoenleinii
Favus is a chronic tinea capitis caused by Trichophyton schoenleinii, with scutula (cup-shaped crusts), mousy odour and permanent scarring alopecia. Epidermophyton floccosum does not invade hair.
Option by option
A. Microsporum canis
M. canis causes ectothrix tinea capitis with bright green fluorescence under Wood's lamp.
B. Epidermophyton floccosum
E. floccosum infects skin and nails but not hair.
C. Trichophyton schoenleinii (correct)
Correct. Scutula, mousy odour and scarring alopecia indicate T. schoenleinii.
D. Trichophyton tonsurans
T. tonsurans causes endothrix black-dot tinea capitis and not scutula.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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