Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/18/2025

Treatment of Infant Neck Fungal Infections

Important Considerations for Topical Terbinafine Treatment

  • The British Journal of Dermatology recommends that for tinea capitis (scalp ringworm), topical therapy alone is not recommended and oral therapy is generally indicated 1
  • The American Academy of Pediatrics is not mentioned, however, it's worth noting that if the infection does not respond to topical treatment within 2 weeks, or if it appears to be spreading to the scalp/hair, oral antifungal therapy may be necessary 1
  • For extensive or severe infections, or those involving the hair follicles, consultation with a pediatric dermatologist is recommended, as suggested by medical guidelines, although the specific society is not mentioned 2

REFERENCES

2

Treatment for Scalp Ringworm (Tinea Capitis) in Children [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025