Woolrich A, Koestenblatt E, Don P, Szaniawski W
Department of Dermatology, New York Medical College, Metropolitan Hospital Center, NY 10029.
J Am Acad Dermatol. 1994 Nov;31(5 Pt 2):920-4. doi: 10.1016/s0190-9622(94)70260-8.
Cutaneous protothecosis is an uncommon algal infection with a varied clinical presentation that occurs mainly in immunocompromised patients. We describe a 33-year-old Hispanic woman with AIDS who had a verrucous plaque on the dorsum of her hand. A biopsy specimen revealed organisms suggestive of Prototheca. Culture confirmed the organism to be Prototheca wickerhamii. To our knowledge, this is the first case of cutaneous protothecosis reported in a patient with AIDS.