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We also recommend terbinafine as first-line treatment of tinea capitis, with adjustment as necessary after species identification. We recommend all clinical providers ascertain the causative organism in fungal infection, either through fungal culture or newer methods which may become more readily available and cost-effective in the future, such as polymerase chain reaction assay. We also recommend terbinafine as first-line treatment of tinea capitis, with adjustment as necessary after species identification. The lower oesophageal sphin