Immune status evaluation may be judicious in patients presenting with this disorder. This subtle lesion of cutaneous protothecosis on the shoulder shows an ill-defined, slightly erythematous, thin plaque. PAS-stained sections of protothecosis reveal rounded endospores forming characteristic moruloid structures within the dermis. Electron photomicrograph of prototheca wickerhamii demonstrating a central rounded endospore surrounded by a corona of molded endospores. Medicine is a constantly changing science and not all therapies are clearly established.
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