To the Editor.— To my knowledge this is the first reported case of a patient with combined infections from Candida albicans, Microsporum canis, and Staphylococcus aureus. To date about 25 well-recorded cases of Candida granuloma have been reported in the literature, beginning with the observation of Hauser and Rothman in 1950.1 In 1963 Kugelman et al2 made a comprehensive survey of the literature and added a case of their own. In 1966 Newcomer et al,3 studying the several parameters associated with the host-parasite relationship, concluded by proposing that a specific immunologic unresponsiveness to C albicans accounts for the development of this infection. In five of the previously reported 25 cases there was a concurrent dermatophyte infection. The dermatophytes isolated were Epidermophyton floccosum, Trichophyton rubrum, T schoenleini, and M audouini. Though there was some secondary overgrowth, none of these cases demonstrated any concomitant primary infection of S aureus