Spirochetes are long, helical, motile bacteria that include the genera Treponema, Borrelia, and Leptospira. Treponema pallidum causes syphilis, presenting initially with a chancre then secondary and latent stages before potential progression to tertiary disease. Borrelia burgdorferi causes Lyme disease transmitted by ticks, presenting with a skin lesion and flu-like symptoms. These spirochetes are diagnosed via microscopy, culture, and serology. Penicillin is the treatment of choice for diseases caused by Treponema and Borrelia.