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To the Editor: Protothecosis infections are caused by an achlorophyllic algae of the species Prototheca. Prototheca organisms are found mostly in soil and water.1 Human infections are rare and involve 2 species, Prototheca wickerhamiiand Prototheca zopfii. The formermost commonly is responsible for human infections, though P zopfii results in more serious systemic infections with a poor prognosis.
Case Letter Practice Points Cutaneous protothecosis is a rare skin infection most commonly reported in immunocompromised individuals with recent exposure to contaminated soil or water. Cutaneous protothecosis has the potential to mimic many other skin diseases and lesions, including eczema; nonmelanoma skin cancer; or bacterial, viral, and fungal skin infections.
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