A 28-Year-Old Man Comes to the Office Due to a Rash

A 28-year-old man comes to the office due to a rash on the lower extremity.  The patient noticed a pruritic papule on the dorsum of his right foot just prior to returning from a south Florida beach 2 days ago.  He walked barefoot on the beach but does not recall any trauma.  Since his return home, the rash and itching have progressively worsened.  The patient has no other medical problems and takes no medications.  Physical examination findings are shown below. Which of the following is the most likely cause of this patient's current condition?

A) Brown recluse spider bite
B) Hookworm infection
C) Mycobacterium marinum infection
D) Sporothrix schenckii infection
E) Staphylococcus aureus infection
F) Vibrio vulnificus infection

Correct Answer:

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