"Conjugative DNA transfer into human cells by the VirB/VirD4 type IV secretion system of the bacterial pathogen Bartonella henselae."
The conclusion based on the above is that ... a Bartonella like organism has adjusted the cellular genome of the skin, causing it to grow whatever the hell it can absorb from the host's diet, drug intake, or the environment around it. The organism picks up DNA of all manner of plant and animal life, and during a severe morg infestation, the skin attempts to grow or hatch these lifeforms. The bug parts, feathers, lettering, and other bizarre macroscopic skin artifacts are not delusions and they did not work their way to the skin from deep inside the body. They are cruel examples of how this organism is capable of transforming the dermis into a garden.