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Impetigo 2 *
This patient presented with these gluteal 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.
Staphylococcal Skin Infections, Impetigo, Staphylococcal, Streptococcal Infections, Impetigo, Streptococcal
Picture & text from CDC/PHIL. For more information see Impetigo Pictures from CDC