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Image Quiz

2014 June

<p>A middle-aged woman noted a “bite” on her left thigh. During the next week, the lesion enlarged, and fatigue, arthralgias, myalgias, a severe headache and a fever to 103.4°F (39.7°C) developed, followed by a rash on her extremities, trunk and back. She had moved to the Northeast from the South 6 months before, had a pet dog, and had noticed a mouse in her basement.</p>
<p><b>The most likely diagnosis is which of the following?</b></p>

A middle-aged woman noted a “bite” on her left thigh. During the next week, the lesion enlarged, and fatigue, arthralgias, myalgias, a severe headache and a fever to 103.4°F (39.7°C) developed, followed by a rash on her extremities, trunk and back. She had moved to the Northeast from the South 6 months before, had a pet dog, and had noticed a mouse in her basement.

The most likely diagnosis is which of the following?



What is the diagnosis?
  • Lyme disease
  • Chickenpox (varicella)
  • Monkeypox
  • Cutaneous anthrax
  • Rickettsialpox
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