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March 25, 2024

A 17-year-old female is evaluated by a nurse practitioner for a high fever, severe headache, neck stiffness

A 17-year-old female is evaluated by a nurse practitioner for a high fever, severe headache, neck stiffness and muscle pain. She recently returned from a camping trip and her mother reports that she began to develop a rash, parts of which are turning dark red and purple. The patient has a temperature of 102.8 degrees Fahrenheit, heart rate of 115, and blood pressure of 88/50 mm Hg. Her respiratory rate is 24/minute. Which of the following is the most likely diagnosis? A. Meningococcemia B. Rocky Mountain spotted fever C. Erythema multiforme D. Lyme disease

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