Cutaneous Lesions Caused by Scytalidium hyalinum Resembling Dermatophycosis

© 2012 Elsevier 0196-4399/00 (see frontmatter) 31 The clinical presentation of cutaneous fungal infections caused by members of the genus Scytalidium is similar to the clinical manifestation of disease caused by the dermatophyte fungi, except that infections caused by Scytalidium spp. respond poorly to conventional antifungal therapy. Members of the genus Scytalidium are endemic in tropical regions of the world, and their occurrence in Spain is rare. However, in recent years, the number of cases described in Spain and other areas of nonendemicity has been increasing. This increase in reported cases is allegedly due to more frequent travel by individuals to areas of endemicity in the world. We describe a case of cutaneous infection caused by Scytalidium hyalinum in a 32-year-old patient who was born and raised in Sierra Leone but resided in Spain for the last 10 years. He sought medical attention in our dermatology department for the evaluation of skin lesions that were initially thought to be a contact dermatitis caused by exposure to a chemical irritant.