Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 25, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Scalp Infection

Single Most Likely Diagnosis

  • Folliculitis: This is an infection of the hair follicles, often caused by Staphylococcus aureus. It's a common condition that can occur on any part of the body with hair, including the scalp, making it the most likely diagnosis for a scalp infection due to its prevalence and the typical presentation of red, itchy, and sometimes pus-filled bumps.

Other Likely Diagnoses

  • Impetigo: A highly contagious skin infection that can affect the scalp, typically caused by Staphylococcus aureus or Streptococcus pyogenes. It presents as red sores on the skin that can burst and form light brown crusts.
  • Ringworm of the Scalp (Tinea Capitis): A fungal infection that affects the hair shafts and follicles of the scalp, leading to hair loss, itching, and redness. It's more common in children but can occur in adults as well.
  • Seborrheic Dermatitis: While not typically considered an infection, it can be complicated by secondary infections. It causes scaly patches, red skin, and stubborn dandruff due to an oily scalp.

Do Not Miss Diagnoses

  • Meningitis: Although not directly a scalp infection, meningitis can present with symptoms that might initially be mistaken for a scalp infection, such as fever, headache, and neck stiffness. It's crucial to consider this diagnosis, especially if there are signs of severe illness or neurological deficits.
  • Osteomyelitis of the Skull: An infection of the bone, which can occur in the skull and might be related to a scalp infection, especially if there's a history of trauma or surgery. It requires prompt diagnosis and treatment to prevent serious complications.
  • Cellulitis: A bacterial skin infection that can spread rapidly and become serious. While it can occur anywhere, when it affects the scalp, it can be particularly concerning due to the rich blood supply and potential for spread to other areas.

Rare Diagnoses

  • Kerion: A severe form of tinea capitis that leads to an inflammatory, painful mass on the scalp. It's less common than other forms of ringworm but can be a complication of untreated or severe fungal infections.
  • Actinomycosis: A rare chronic bacterial infection that can affect the scalp among other areas, causing abscesses, sinus tracts, and scarring. It's often associated with poor dental hygiene or oral surgery.
  • Sporotrichosis: A fungal infection caused by Sporothrix schenckii, typically acquired through skin prick injury from a thorn or other vegetation. It can cause lesions on the scalp, among other areas, and is more common in gardeners or those who work with plants.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.