Causative agent of Favus is:
**Core Concept**
Favus is a chronic, scaly, crusting fungal infection of the scalp characterized by yellowish, brittle scales and a "pitted" appearance. It is caused by a dermatophyte that thrives in warm, oily environments and is specifically associated with **Tinea schoenleinii**, a rare dermatophyte known for its adherence to the scalp and resistance to antifungal therapy.
**Why the Correct Answer is Right**
*Tinea schoenleinii* is the **primary causative agent** of favus, particularly in tropical and subtropical regions. This fungus produces a thick, keratinized scale and forms a crusty, adherent lesion on the scalp. It is distinct from other dermatophytes due to its ability to grow in oily skin and its association with chronic, recalcitrant scalp infections. The infection is often misdiagnosed, but histopathology and direct fungal culture confirm *Tinea schoenleinii* as the etiologic agent.
**Why Each Wrong Option is Incorrect**
Option B: *Tinea rubrum* causes athlete’s foot or jock itch, not favus. It affects the feet or groin, not the scalp, and presents with red, itchy, circular lesions.
Option C: *Malassezia furfur* is a yeast, not a dermatophyte, and causes seborrheic dermatitis, not favus. It is a common skin commensal and does not form crusted lesions.
Option D: *Epidermophyton floccosum* causes tinea corporis and tinea pedis, not favus. It is a dermatophyte but not associated with scalp crusting.
**Clinical Pearl / High-Yield Fact**
Favus is often confused with seborrheic dermatitis or tinea capitis, but **only *Tinea schoenleinii* causes true favus**. It is more common in children and may lead to scarring if untreated. Always consider scalp crusting as a sign of favus, especially in endemic areas.
✓ Correct Answer: A. Tinea schoenleinii