question: Q:A 64-year-old man presents to his primary care physician for 4 weeks of recurrent fever, night sweats, malaise, and fatigue. Associated with shortness of breath and orthopnea. Family and personal history are unremarkable. Upon physical examination, he is found with a blood pressure of 100/68 mm Hg, a heart rate of 98/min, a respiratory rate of 20/min, and a body temperature of 38.5°C (101.3°F). Cardiopulmonary auscultation reveals a high-pitched holosystolic murmur over the lower end of the left sternal border and that radiates to the left axilla. Skin lesions are found on the patient’s palms seen in the picture below. Which of the following entities predisposed this patient’s condition?? 
  {'A': 'Rheumatic heart disease', 'B': 'Systemic lupus erythematosus', 'C': 'Mitral valve prolapse', 'D': 'Bicuspid aortic valve', 'E': 'Pulmonary stenosis'},