of the species is R. mucilaginosa; it is a ubiquitous pathogen isolated from many sources such as shower curtains, bathtubs, tooth brushes and medical equipments. Before 1985, Rhodotorula was not considered yet as a pathogen, but today it is known to cause significant infections in immunocompromised patients, usually with a malignancy or immunosuppression. Fungemia associated with central venous catheter is the most common consequence of R. mucilaginosa, followed by eye infection (keratitis and endophthalmitis), meningitis, opportunistic onycomycosis and peritonitis. 7,8 Skin infections are extremely rare. Means et al. reported a case of cutaneous R. mucilaginosa treated with photodynamic therapy. 9 Jaeger et al. described a case of R. mucilaginosa folliculitis in Li-Fraumeni-like syndrome. 10 Amphotericin B is considered the gold standard therapy for this infection.Due to the patient's HCC history and chemotherapy with sorafenib, the patient had a higher risk to develop opportunistic infections. We describe the first case of R. mucilaginosa skin infection in a patient with HCC treated with sorafenib.
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