From the photo, please confirm if my son has ringworm infection.

Hello,

Welcome to icliniq.com.

I just read your query and saw your attachment (attachment removed to protect patient identity).

Yes, you are right. It does appear to be a ringworm infection of the scalp called tinea capitis.

I suggest that you have a culture of the skin scrapings or a microbiological study done of the skin scrapings to find out what antifungal therapy would the organisms be sensitive to. You might need to visit your local doctor there for this procedure. Only after that, we can start systemic oral antifungal treatments as topical therapy would not be effective in this condition.