Multiple abscesses and plaques in an immunocompetent patient

A 40-year-old immunocompetent man experiencing housing insecurity presented with a 2-week history of fluctuant abscesses on the left forehead and supraorbital area that became crusted scaly plaques, a pink plaque on the right dorsal hand and a necrotic ulcer on the right great toe; all were resistant to 2 weeks of doxycycline. A shave biopsy of a new plaque on the right cheek revealed large, broad-based fungal yeast forms and concomitant right middle lobe consolidating pneumonia.