Certified Wound Specialist (CWS) Practice Test 2025 - Free Wound Specialist Exam Questions and Study Guide

The infection characterized by the progression from red macules to vesicular lesions, particularly in individuals with poor hygiene, is ecthyma. This condition is a deep form of impetigo that typically occurs in areas where the skin is broken or where hygiene practices are inadequate. The red macules develop into vesicles and can form crusty lesions, often leading to scarring if not properly treated.

While other infections may present with vesicular lesions, ecthyma uniquely correlates with the specific progression from macules to vesicles in the context of poor hygiene, making it the most fitting choice for this question. Herpes simplex typically has recurrent vesicles but is often associated with mucosal surfaces and can also affect individuals regardless of hygiene status. Tinea corporis is a fungal infection that presents as ring-shaped lesions and does not typically develop vesicles. Varicella, caused by the varicella-zoster virus, presents with vesicular lesions as well but usually begins with a different systemic presentation and is not so closely tied to poor hygiene. Thus, ecthyma is the condition that best aligns with the characteristics described in the question.

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