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trichosporon anamorphic basidiomycota bud budding cutaneum disease flora fungi fungus human hypha hyphae immunocompromised infection microbiota moulds opportunistic pathogen patient piedra pseudohyphae septate skin slime superficial tremellales tremellomycetes trichosporonosis white yeast invasive beigelii 3d illustration microscope microscopy microscopic blastoconidia blastoconidium arthroconidia arthroconidium dandruff scalp kidney soil moustache mycosis