Man With Rash

A 58-year-old man presented with a 1-day history of an asymptomatic rash preceded by intermittent fevers, headaches, myalgias, nausea, and mild abdominal pain for the previous 2 weeks. The patient denied exposure to new medications or herbal remedies. He reported hiking in Upstate New York 2 weeks before, at which time he noted "bug bites" on his left posterior thigh.

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