question: Q:A 38-year-old man presents to the physician with fever and malaise for 4 days. He has headaches and joint pain. A pruritic rash appeared on the trunk yesterday. He had blood in his ejaculate twice. His hearing has become partially impaired. There is no history of serious illnesses or the use of medications. Ten days ago, he traveled to Brazil where he spent most of the time outdoors in the evenings. He did not use any control measures for mosquito bites. His temperature is 38.2℃ (100.8℉); the pulse is 88/min; the respiratory rate is 13/min, and the blood pressure is 125/60 mm Hg. Conjunctival suffusion is noted. A maculopapular rash is present over the trunk and proximal extremities without the involvement of the palms or soles. Several joints of the hands are tender to palpation. The abdomen is soft with no organomegaly. A peripheral blood smear shows no pathogenic organisms. Which of the following is the most likely diagnosis?? 
  {'A': 'Chagas disease', 'B': 'Malaria', 'C': 'Rocky Mountain spotted fever', 'D': 'Whipple’s disease', 'E': 'Zika virus disease'},