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A 25-year-old male returns to New Jersey from Spring Break (which he spent fishing in North Carolina). Soon afterwards, he becomes ill. He reports a 5-day history of fever, malaise, and headache. He has three “Bull’s eye” lesions on his thighs. Lesions are 10-15 cm in diameter, oval with somewhat irregular outlines, with 3-4 cm red borders and 2-4 cm central red areas, separated by a belt of paler skin. Which diagnosis is most likely?

 

A) Lyme disease

B) Relapsing fever

C) Rocky Mountain spotted fever

D) Staphylococcal scalded skin syndrome

E) syphilis
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1 Answer

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Best answer
A) Lyme disease
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