Neoscytalidium dimidiatum is mainly found in tropical to subtropical environments, such as in South America, Southeast Asia, India and Africa. In addition to these regions, this fungus is endemic to parts of west and central Africa, the Caribbean and Asian, but more cases are being seen in temperate countries, possibly as a consequence of immigration from tropical regions. The fungus occurs in nature in soil and on decaying wood.
Human infection Neoscytalidium dimidiatum has been described as an agent to cause infections referred to as dermatomycosis,
onychomycosis,
ringworm or
tinea, affecting human nails, toe webs and feet, and skin, forming
hyphomycete, and also sometimes infecting the palms of hands but this is a rare occurrence. To cause these infections in humans, infections occurs through contact with contaminated soil or plant materials, or nail or skin tissue from an infected person, causing superficial skin infections similar to dermatophytosis called Scytalidiosis. Although established to cause dermatomycosis and onychomycosis, invasive infection by
N. dimidiatum is rare, resulting in limited case reports and limited information available for clinical progression and treatment. as well as there is no currently know oral or
topical treatment for infection with this fungus. These result in the invasion of tissue and organs causing systemic diseases. Infection can occur in both immunocompetent and immunosuppressed patients, but deep infections occur mainly in immunosuppressed/ immunocompromised individuals with a 50% case mortality.
Melanin is characteristically produced by the fungus in vivo in diseased human tissue where its presence has been interpreted as an important pathogenic factor. Although limited in case reports, there have been some reported cases of
N. dimidiatum causing dermatomycosis or onychomycosis in places such as
Jamaica,
Brazil,
Algeria,
Canada, the United States and the United Kingdom. In addition, there have been some papers reporting infections besides dermatomycosis and onychomycosis, such as discovery of this fungus confirmed by DNA analysis to cause a fatal case of lung disease. Similarly, a case of lung infection has been reported in a
dolphin. A case of rhinosinusitis, a disease where it is believed that fungi play a role in the disease process, was reported to have been caused by
N. dimidiatum.
Plant disease Neoscytalidium dimidiatum has been mainly described as an opportunistic plant pathogen, causing pit canker and spot on the stem of plants or fruits, as well as internal black rot of fruits, but a case of internal brown rot of
pitahaya was reported from China. Similarly in Malaysia was a report of the fungus causing stem canker of
red-fleshed dragon fruit, and a similar report of stem canker on grapevine in California. ==References==