Tinea capitis (endothrix) is caused by
**Core Concept**
Tinea capitis, also known as ringworm of the scalp, is a fungal infection that affects the hair follicles of the scalp. The endothrix type of tinea capitis is characterized by the invasion of fungal spores into the hair shaft itself.
**Why the Correct Answer is Right**
The endothrix type of tinea capitis is caused by fungi that belong to the genus Trichophyton, specifically Trichophyton tonsurans, Trichophyton violaceum, and Microsporum canis. These fungi produce spores that penetrate the hair shaft, leading to the destruction of the hair follicle and the formation of a kerion, a painful, inflammatory mass. The endothrix type of tinea capitis is often associated with a scalp infection characterized by hair loss, itching, and a scaly, crusty appearance.
**Why Each Wrong Option is Incorrect**
* **Option A:** Epidermophyton floccosum is a fungus that typically causes tinea pedis (athlete's foot), tinea cruris (jock itch), and tinea unguium (fungal nail infection) but is not commonly associated with endothrix tinea capitis.
* **Option B:** Microsporum canis is a common cause of endothrix tinea capitis, but it is not the only fungus responsible for this condition.
* **Option D:** Malassezia species are yeasts that are commonly found on the skin and are associated with conditions such as seborrheic dermatitis, but they are not typically associated with endothrix tinea capitis.
**Clinical Pearl / High-Yield Fact**
In endothrix tinea capitis, the hair shaft is often broken off at the scalp surface, and the hair follicle is destroyed, leading to permanent hair loss.
**Correct Answer:** C.