A 34 year old man gets bitten on his hand by a rat

Question Number 0559Question:
A 34 year old man gets bitten on his hand by a rat. A few days later he develops enlarged and tender localized cervical and axillary lymphadenopathy on the same side as the bite. The bite becomes rapidly red and painful and undergoes necrosis. He also complains of generalised fever,headache and fatigue. The most likely diagnosis is
a) typhoid fever
b) infectious mononucleosis
c) legionnaire's disease
d) tularemia
e) tuberculosis


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