[en] Scytalidium dimidiatum is a geophilic dematiaceous, non-dermatophyte mould that can become a pathogen for plants and humans particularly in tropical and subtropical regions. We report 4 cases of S. dimidiatum onychomycosis presenting clinically as thickened and dark toenails. The skin of the soles was scaly. The time and location of the contaminations were uncertain. Indeed, the patients were ancient immigrants from the Maghreb to Belgium. They were also regularly travelling to their countries of origin. They were also often barefoot in the same Belgian mosque. The disease was unresponsive to current oral antifungal treatments.
Arrese, J.E., Piérard-Franchimont, C., Greimers, R., Piérard, G.E., Fungi in onychomycosis: A study by immunohistochemistry and dual flow cytometry (1995) J Eur Acad Dermatol Venereol, 4, pp. 123-130
Ginter, G., Rieger, E., Heigl, K., Propst, E., Increasing frequency of onychomycoses: Is there a change in the spectrum of infectious agents? (1996) Mycoses, 39, pp. S118-S122
Gentles, J.C., Evans, E.G.V., Infections of the feet and nails with Hendersonula toruloidea (1970) Sabouraudia, 8, pp. 72-75
Hay, R.J., Moore, M.K., Clinical features of superficial fungal infections caused by Hendersonula toruloidea and Scytalidium hyalinum (1984) Br J Dermatol, 110, pp. 677-683
Moore, M.K., Hendersonula toruloidea and Scytalidium hyalinum infections in London, England (1986) J Med Vet Mycol, 24, pp. 219-230
Greer, D.L., Gutierrez, M.M., Tinea pedis caused by Hendersonula toruloidea: A new problem in dermatology (1987) J Am Acad Dermatol, 16, pp. 1111-1115
Elewski, B.E., Greer, D.L., Hendersonula toruloidea and Scytalidium hyalinum (1991) Arch Dermatol, 127, pp. 1041-1044
Little, M.G., Hammond, M.L., Scytalidium dimidiatumin Australia (1995) Austr J Dermatol, 36, pp. 204-205
Elewski, B.E., Onychomycosis caused by Scytalidium dimidiatum (1996) J Am Acad Dermatol, 35, pp. 336-338
Benne, C.A., Neeleman, C., Bruin, M., De Hoog, G.S., Fleer, A., Disseminating infection with Scytalidium dimidiatum in granulocytopenic child (1993) Eur J Clin Microbiol Infect Dis, 12, pp. 118-121
Marriott, D.J., Wong, K.H., Aznar, E., Harkness, J.L., Cooper, D.A., Muir, D., Scytalidium dimidiatum and Lecythophora hoffmannii: Unusual causes of fungal infections in a patient with AIDS (1997) J Clin Microbiol, 35, pp. 2949-2952
Sigler, L., Summerbell, R.C., Poole, L., Wieden, M., Sutton, D.A., Rinaldi, M.G., Aguirre, M., Galgiani, J.N., Invasive Nattrassia mangiferae infections: Case report, literature review, therapeutic and taxonomic appraisal (1997) J Clin Microbiol, 35, pp. 433-440
Arrese, J.E., Piérard-Franchimont, C., Piérard, G.E., Facing up to the diagnostic uncertainty and management of onychomycoses (1999) Int J Dermatol, 38 (SUPPL 2), pp. 1-6
De Doncker, P., Scher, R., Baran, R., Decroix, J., Degreef, H.J., Roseeuw, D.I., Havu, V., Piérard, G.E., Itraconazole therapy is effective for pedal onychomycosis caused by some nondermatophyte molds and in mixed infection with dermatophytes and molds: A multicenter study with 36 patients (1997) J Am Acad Dermatol, 36, pp. 173-177
Arrese, J.E., Piérard-Franchimont, C., Piérard, G.E., Unusual mould infection of the human stratum corneum (1997) J Med Vet Mycol, 35, pp. 225-227
Arrese, J.E., De Doncker, P., Odds, F., Piérard, G.E., Reduction in the growth of non-dermatophyte moulds by itraconazole: Evaluation by corneo-fungimetry bioassay (1998) Mycoses, 41, pp. 461-465
Arrese, J.E., Piérard-Franchimont, C., Piérard, G.E., Fatal hyalohyphomycosis following Fusarium onychomycosis in an immuno-compromised patient (1996) Am J Dermatopathol, 18, pp. 196-198
Summerbell, R.C., Kane, J., Krajden, S., Onychomycosis, tinea pedis and tinea manuum caused by nondermatophytic filamentous fungi (1989) Mycoses, 32, pp. 609-610
Greer, D.L., Evolving role on nondermatophytes in onychomycosis (1995) Int J Dermatol, 34, pp. 521-524
Gupta, A.K., Elewski, B.E., Nondermatophyte causes of onychomycosis and superficial mycoses (1996) Curr Top Med Mycol, 7, pp. 87-97
Piérard, G.E., Arrese, J.E., De Doncker, P., Piérard-Franchimont, C., Present and potential diagnostic techniques in onychomycosis (1996) J Am Acad Dermatol, 34, pp. 273-277
Piérard, G.E., Piérard-Franchimont, C., Arrese, J.E., Onychomycoses may be caused by facultative pathogenic molds (1998) Dermatopathol Pract Concept, 4, pp. 131-132
Arrese, J.E., Piérard-Franchimont, C., Piérard, G.E., Onychomycosis and keratomycosis caused by Alternaria sp: A bipolar opportunistic infection in an wood-pulp worker on chronic steroid therapy (1996) Am J Dermatopathol, 18, pp. 611-613
Dixon, D.M., Polak-Wyss, A., The medically important dematiaceous fungi and their identification (1991) Mycoses, 34, pp. 1-8
Raboobee, N., Aboobaker, J., Peer, A.K., Tinea pedis and unguium in the Muslim coomunity of Durban, South Africa (1998) Int J Dermatol, 37, pp. 759-765