<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 28-year-old man presents with fever, chills, and malaise which began 5 days ago. He also mentions that the back of his right upper arm feels itchy. He says he works as a forest guide and recently came back from a forest expedition. Upon asking, he reports that the forest where he works is infested with ticks. His temperature is 38.3C 100.9F, the pulse is 87min, the respiratory rate is 15min, and the blood pressure is 12290 mm Hg. On physical examination, there is a rash present on the posterior aspect of his upper right arm which is shown in the image. Which of the following medications is the best course of treatment for this patient?? A: Azithromycin, B: Clindamycin, C: Doxycycline, D: Fluconazole, E: Trimethoprim-sulfamethoxazole,  <response>: Based on the description, this patient likely has Lyme disease caused by a tick bite. The rash on the back of his arm is characteristic of erythema migrans, which is seen in early Lyme disease. The best treatment for early Lyme disease is doxycycline. Azithromycin may also be used but is less effective. Clindamycin, fluconazole, and TMP-SMX are not recommended treatments.C: Doxycycline 