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Impetigo 1 *
This patient presented with these lower extremity lesions that proved to be impetigo, but was first thought to be syphilis. Impetigo is usually caused by Group A Streptococcus sp. or Staphylococcus aureus bacteria. Note how the maculopapular lesions resemble syphilis, which is caused by the Gram-negative Treponema pallidum spirochete.
Impetigo, Streptococcal, Streptococcal Infections, Impetigo, Staphylococcal, Staphylococcal Infections
Picture & text from CDC/PHIL. For more information see Impetigo Pictures from CDC