The patient complained of lack of ability to concentrate

Q. A 27-year old white female presented herself at her local physician on August 15. On physical exam, patient had a fever of 38.5C. She appeared fatigued, had tender abdomen and complained of headache, stiff neck and backache with diarrhea. The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate. The patient gave the following history: She is a graduate student in the wildlife program at the University in her town. She was in the field for three weeks in Wisconsin during the months of May and June. She tracks small mammals in the field and studies their behaviour. It had been the warm, wet spring and she complained of a large number of flies in the area. She felt sick last day there after eating some canned food, as there was no cooler there. You had no time for culturing, as you require taking action fast.

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