A 32-Year-Old Heterosexual Male Presents to the Physician with a 3-Day

Multiple Choice

A 32-year-old heterosexual male presents to the physician with a 3-day history of multiple skin lesions located all over his body and on his mucous membranes.He hasn't felt well and has a low-grade fever.The patient cuts down trees in Massachusetts for a living.He is single,has had multiple sex partners,and does not use condoms.Here are the results of his laboratory tests: rapid plasma reagin = reactive 1:128; Treponema pallidum-particle agglutination assay = reactive; Borrelia burgdorferi IgM = < 1:8; Rickettsia rickettsii IgM < 1:8.This patient has:

A) primary syphilis
B) secondary syphilis
C) lyme disease
D) Rocky Mountain spotted fever