2020
DOI: 10.1093/mmy/myaa105
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Onychomycosis caused by the environmental mold Neoscytalidium dimidiatum in Colombia, and in vitro antifungal susceptibility evaluation

Abstract: Neoscytalidium dimidiatum is a plant pathogen, but can also cause onychomycosis. We compared clinical and epidemiological data of cases of onychomycosis caused by N. dimidiatum and Trichophyton rubrum. We also evaluated the in vitro antifungal susceptibility of N. dimidiatum clinical isolates. It was not possible to establish any statistical differences between groups, except the place of residence and the number of affected nails. The results suggest that onychomycosis caused by N. dimidiatum is clinically si… Show more

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Cited by 5 publications
(4 citation statements)
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“…Currently, the photoprotective properties of extracts [ 58 ], essential oils [ 29 ], and secondary metabolites [ 59 ] are being explored, and the antifungal activity of these natural extracts [ 60 ] and compounds [ 61 ] has highlighted the potential of Colombian flora for the development of topical formulations.…”
Section: Discussionmentioning
confidence: 99%
“…Currently, the photoprotective properties of extracts [ 58 ], essential oils [ 29 ], and secondary metabolites [ 59 ] are being explored, and the antifungal activity of these natural extracts [ 60 ] and compounds [ 61 ] has highlighted the potential of Colombian flora for the development of topical formulations.…”
Section: Discussionmentioning
confidence: 99%
“…Combination of amphotericin B with terbina ne [21][22], and with itraconazole [9,20] showed effectiveness while these species were almost resistant towards the new antifungal luliconazole [35][36]. In study done by Gil-González et al [37], clinical isolates of N. dimidiatum showed low sensitivity to itraconazole but high to terbina ne. Voriconazole may provide options for treating patients with invasive disease who are unable to tolerate amphotericin B formulations due to poor renal function [10].…”
Section: Discussionmentioning
confidence: 99%
“…Em estudo in vitro desenvolvido na Malásia com isolados de importância clínica, N. dimidiatum mostrou-se suscetível ao miconazol, ao clotrimazol, voriconazol e a anfotericina B, em diferentes níveis de sensibilidade, no entanto, foi resistente ao cetoconazol (James et al, 2017), um importante antifúngico utilizado no controle de diversas infecções. Resultado semelhante foi observado em ensaio realizado na Colômbia com isolados obtidos a partir de onicomicoses, o patógeno mostrou alta sensibilidade a terbinafrina e baixa senbilidade ao itraconazol, além disso a infecção por N. dimidiatum foi clinicamente semelhante à causada por Trichophyton rubrum, o que dificulta a identificação da doença em clínica médica (Gil-González, Gómez-Velásquez, Loaiza-Díaz, Florez-Muñoz, Hernández-Herrera & Mesa-Arango, 2020), estes dados demonstram que o fungo possui sensibilidade variável a diferentes antimicóticos.…”
Section: Atividade Fungicidaunclassified