30th July 2023

A 45 year old woman reports a 10 day history of cough, fever, and malaise.

A 45 year old woman reports a 10 day history of cough, fever, and malaise. She is a geologist and has recently returned from a research trip in the American state of Missouri. Over the past day, she has developed a painful rash across her shins. On examination, there are several raised reddened bumps, which are tender to the touch.

What complication has occurred?

Select the SINGLE most appropriate option from the list below. Select ONE option only.