<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 13-year-old boy is brought to the emergency department because of vomiting, diarrhea, abdominal pain, and dizziness for the past 3 hours with fever, chills, and muscle pain for the last day. He had presented 5 days ago for an episode of epistaxis caused by nasal picking and was treated with placement of anterior nasal packing. His parents report that the bleeding stopped, but they forgot to remove the nasal pack. His temperature is 40.0C 104.0F, pulse is 124min, respirations are 28min, and blood pressure is 9668 mm Hg. He looks confused, and physical exam shows conjunctival and oropharyngeal hyperemia with a diffuse, erythematous, macular rash over the body that involves the palms and the soles. Removal of the anterior nasal pack shows hyperemia with purulent discharge from the underlying mucosa. Laboratory studies show:Total white blood cell count 30,000mm3 30 x 109LDifferential countNeutrophils 90Lymphocytes 8Monocytes 1Eosinophils 1Basophils 0Platelet count 95,000mm3 95 x 109LSerum creatine phosphokinase 400 IULWhat is the most likely diagnosis for this patient?? A: Disseminated gonococcal infection, B: Herpes simplex virus type 2 HSV-2 meningitis, C: Toxic shock syndrome, D: Stevens-Johnson syndrome, E: Measles,  <response>: Based on the description in the question stem, the key findings are:- 13-year-old boy with fever, vomiting, diarrhea, abdominal pain, dizziness, muscle pain, confusion - History of epistaxis 5 days ago treated with nasal packing that was left in place - Physical exam shows conjunctival and oropharyngeal hyperemia, diffuse macular rash involving palms and soles- Lab findings show high WBC with neutrophilia, thrombocytopenia, elevated CPK- Fever, rash involving palmssoles, recent history of nasal packing, lab findings are all consistent with toxic shock syndrome TSSC: Toxic shock syndrome 