Majocchi Granuloma: Clinical Presentation and Management Challenges in Infants

Majocchi granuloma is a rare form of deep dermatophytosis caused by fungal invasion of the hair follicle and dermis. While typically reported in adults, often after inappropriate topical corticosteroid use, its occurrence in infants is exceptional and represents a significant diagnostic challenge. We report the case of an infant with persistent erythematous-squamous plaques unresponsive to conventional topical therapies. The diagnosis was confirmed by fungal culture, with detection of dermatophyte growth. The patient achieved complete resolution with systemic terbinafine. This case underscores the importance of considering Majocchi granuloma in the differential diagnosis of chronic skin lesions in children and highlights the value of early recognition and prompt initiation of systemic antifungal therapy to avoid therapeutic delays.