What are the most likely organisms implicated

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A 5-year old child returned from holiday and presented to the doctor with red crusted lesions on her arms. Her mother said the child was bitten by mosquitoes while on holiday, leading to severe etching at the bite sites. On examination, the lesions were yellow and crusted in the center with surrounding redness. There was no fever and the child was otherwise well. A Gram stain of a swab taken from the lesion showed numerous neutrophils and Gram-positive cocci in chains and cluster.

a) What is the most likely diagnose?

b) What are the most likely organisms implicated?

c) What is the pathophysiology?

Reference no: EM132612688

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