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?
View all Image Quizzes