The difference between normal gut flora form and the disease causing form is the production of toxins.[4] Cutaneous geotrichosis has two different types of variants which include superficial and deep infection. The superficial form the infection occurs on skin folds including submammary, inguinal, perianal and interdigital folds. The deep form develops nodules, tumours and ulcers on legs, face and hands.[9] Geotrichosis can cause a cystic lesion appears as soft tissue on the skin.[4]