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Subjects/Microbiology/Dermatophytes
Dermatophytes
easy
bug Microbiology

A 7-year-old child presents with a patchy, scaling lesion on the scalp with associated hair loss. A Wood's lamp examination reveals a greenish-yellow fluorescence. Which of the following is the most likely causative agent?

A. A. Microsporum canis
B. B. Trichophyton rubrum
C. C. Epidermophyton floccosum
D. D. Candida albicans

Explanation

The clinical presentation of tinea capitis in a child, combined with greenish-yellow fluorescence under Wood's lamp, is highly characteristic of infection by certain Microsporum species, particularly Microsporum canis. M. canis is a common zoophilic cause of tinea capitis and produces ectothrix infection with fluorescence. Trichophyton rubrum typically causes tinea pedis, tinea corporis, and onychomycosis, and does not fluoresce. Epidermophyton floccosum causes tinea cruris and tinea pedis, and also does not fluoresce. Candida albicans causes candidiasis, which has a different clinical presentation and does not fluoresce under Wood's lamp.

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