<prompt> A 25-year-old woman has cauliflower shaped perineal lesions that are diagnosed as condyloma acuminatum. The etiologic agent isHSV.Treponema pallidum.Haemophilus ducreyi.HPV.  <response>: Condyloma acuminatum is a nonmalignant neoplastic-like papillomatous condition that affects epithelium of the perineal, vulval, perianal and vaginal regions. It is caused by HPV most often HPV 6 and 11. Given histopathological slide is showing Condyloma acuminatum Acanthosis and koilocytosis of squamous epithelium. Branching villous structure Genital herpes is usually caused by HSV type 2. T. pallidum is a spirochete and the etiologic agent of syphilis. H. ducreyi causes chancroid, a painful, erosive, chancre-like lesion. 