A 52-year-old man from rural Wisconsin presents with a one-month history of non-healing, verrucous plaques on his face and chest.
He also reports a persistent cough and low-grade fever.
A skin biopsy reveals pseudoepitheliomatous hyperplasia with dermal microabscesses.
Within the abscesses, large, thick-walled yeasts with single, broad-based buds are identified.
Which of the following is the most likely diagnosis?
