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#idboardreview 70 M skin opening at pacemaker site with purulent chest wall drainage. No improvement on abx. Dx? #medEd #idmedEd #idtwitter 
Culture of the swab of the lesion on the chest grew #Trichosporon beigelii
#Trichosporon beigelii yeast in soil & water. In humans, it colonizes skin, GI & GU. It cause superficial skin infections, such as white piedra. In immunocompromised hosts: deep invasive infections, including fungemia, endocarditis and chronic meningitis
