IU vs TP, HD, and TP/HD microbiomes in the stringent data set. (A) Box plot showing Chao1 and ACE richness estimates and Shannon and Simpson diversity indices of the different ulcer groups. Significant P values: Chao1, TP vs IU, 0.043; Shannon, TP vs HD, 0.002; TP vs IU, 0.018; Simpson, TP vs HD, 0.018. (B) PCoA of microbiomes by ulcer etiology. Significant pairwise PERMANOVA P values: TP vs HD, 0.002; TP vs IU, 0.002; HD vs IU, 0.002; HD vs TP/HD, 0.002, IU vs TP/HD, 0.002. (C) Box plots of top 10 ASVs found in ulcers and comparison of their relative abundances between all ulcer etiologies. Box plots show medians with hinges corresponding to 25th and 75th percentiles and whiskers extending no further than 1.5× interquartile range from the hinges. Red diamonds signify means. Medians are shifted toward zero due to the absence of many of the ASVs in the majority of the samples. Significantly different groups and P values follow: for Treponema pallidum, IU vs TP, P < 0.001; IU vs TP/HD, P < 0.001; TP vs HD, P < 0.001; HD vs TP/HD, P < 0.001; for Streptococcus pyogenes, IU vs HD, P < 0.001; IU vs TP, P = 0.037; IU vs TP/HD, P = 0.006; HD vs TP, P = 0.008; for Haemophilus ducreyi, IU vs HD, P < 0.001; IU vs TP/HD, P < 0.001; HD vs TP, P < 0.001; HD vs TP/HD, P = 0.043; TP vs TP/HD, P < 0.001; for Staphylococcus aureus, IU vs TP, P = 0.047; IU vs TP/HD, P = 0.047; for Haemophilus ducreyi 2, HD vs TP, P = 0.014; for Haemophilus ducreyi 3, HD vs TP, P < 0.001; HD vs TP/HD, P = 0.002. Abbreviations: HD, H. ducreyi ulcers; IU, idiopathic ulcers, TP, Treponema pallidum subspecies pertenue ulcers; TP/HD, dual positive ulcers.