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Background: Tinea capitis are usually cured by medical treatment. We present an unusual case which required a surgical treatment., Case Report: A bulky infected kerion ignored for several weeks extended to a large part of the scalp of a 4-year-old girl. Antibiotics and antifungal agents were ineffective so that a total resection was necessary. The loss of substance was covered by a cutaneous graft; the large alopecia was secondarily repaired by a cutaneous expansion. Evolution has been followed for the past 10 years., Conclusion: It is exceptional that surgical treatment should be required for this condition.