<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 29-year-old woman presents with a skin rash that has spread on her arm over the last few days. She also complains of fever, headache, joint pain, and stiffness of the neck associated with the onset of the rash. On physical examination, there is an annular, red rash with a clear area in the center similar to a bulls-eye see image. The patient says she went on a camping trip to Connecticut last month but does not remember being bitten by an insect. Which of the following could result if this condition remains untreated in this patient?? A: Necrotizing fasciitis, B: Bells palsy, C: Pseudomembranous colitis, D: Subacute sclerosing panencephalitis, E: Mitral valve prolapse,  <response>: Based on the description of the patients symptoms skin rash spreading on arm, fever, headache, joint pain, neck stiffness and the bulls-eye appearance of the rash, this patient likely has Lyme disease caused by a tick bite. The question asks about potential complications if Lyme disease remains untreated. Choice A necrotizing fasciitis is incorrect, as this is unrelated to Lyme disease. Choice B Bells palsy can occur with untreated Lyme disease spreading to the facial nerve. Choice C pseudomembranous colitis may occur with antibiotic treatment for Lyme disease but not from the disease itself. Choice D subacute sclerosing panencephalitis is unrelated. Choice E mitral valve prolapse may rarely occur but is not a common complication. Therefore, the correct answer is B Bells palsy, which is a potential neurological complication of untreated disseminated Lyme disease.B: Bells palsy 