A new source of factitial dermatitis in adolescents is the "salt and ice challenge." This "challenge" causes frostbite on the child's body, resulting in epidermal necrosis with occasional bulla. The following is the case of a 12-year-old girl who underwent the "salt and ice challenge."

Patients with toxic epidermal necrolysis, a condition that causes full thickness epidermal necrosis that affects over 30% of the skin surface and mucosal membranes, often develop comorbid infections throughout the recovery of the disease [1]. While most commonly these are related to a bacterial source, infections due to viral, mycobacterial, and rarely fungal organisms occur. We present a case of a patient who developed a deep cutaneous fungal infection caused by Trichosporon asahii and discuss the management.