Trichosporon asahii Causing Skin Lesions upon Ileostomy and Ureterostomies in an Immunodeficient Patient: A Case Report and a Mini Review of the Literature

A case of superficial skin lesions due to T. asahii is reported, concerning an immune-deficient patient while receiving micafungin. Yet, T. asahii is assumed as intrinsically resistant to echinocandines. Thus, compared to echinocandines, azoles should be preferred in antifungal prophylaxis of immunosuppressed patients because they treat a wider variety of opportunistic fungi, including T. asahii. Additionally, T. asahii should be regarded as a potential pathogen causing skin lesions in immune-depressed or surgical patients.