A 34‐year‐old man with acquired immunodeficiency syndrome presented with multiple skin lesions clinically suggestive of molluscum contagiosum. Three skin biopsy specimens were obtained which showed dermal abscesses containing multiple gram‐positive cocci admixed with granular necrotic dermal material. In 2, there were cytomegalic inclusions present in macro‐phages and endothelial cells within the granulation tissue; immunohistochemistry was positive for cytomegalovirus (CMV) antigens. One biopsy specimen also contained a few acid‐fast bacilli associated with mononuclear inflammatory cells. Cultures from the lesions grew Staphylococcus aureus and the lesions resolved when the patient was administered a course of systemic cephalosporin. Although lesions with multiple infectious agents have been reported in immunosuppressed patients, this is the first case describing the association of 3 organisms in a single skin biopsy specimen.
|Original language||English (US)|
|Number of pages||5|
|Journal||Journal of Cutaneous Pathology|
|State||Published - Feb 1988|
ASJC Scopus subject areas
- Pathology and Forensic Medicine