A 34-Year-Old Man Comes to the Office During Summer Due

A 34-year-old man comes to the office during summer due to intensely pruritic lesions on his right foot.  The patient has no chronic medical conditions and has never had similar symptoms before.  He smokes a pack of cigarettes daily and drinks alcohol on social occasions.  The patient works as a landscaper and recently went to a company barbeque lunch.  His vital signs are normal.  Physical examination findings are shown below. Which of the following most likely occurred before the patient developed these symptoms?

A) Bite from a brown recluse spider
B) Consumption of undercooked pork
C) Contact with plant sap containing urushiol
D) Trauma from decaying vegetation
E) Walking barefoot on a sandy beach

Correct Answer:

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