Case of the Month - June 2020

A 33 year old man presented with three days of fevers of 102 to 103oF and myalgias in early December. He had no known recent sick contacts. He had recently returned from a hiking trip in Connecticut. Physical exam identified a faint maculopapular rash on his upper torso and a tick on his scalp. He did not have conjunctivitis, pharyngitits, lymphadenopathy, or joint swelling.

Can you identify the tick?

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Vew of the tick after its removal from the patients's scalp.

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Vew of the tick after its removal from the patients's scalp.