<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .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 38.2C 100.8F; the pulse is 88min; the respiratory rate is 13min, and the blood pressure is 12560 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: Whipples disease, E: Zika virus disease,  <response>: Based on the information provided in the question stem, the key findings are:- 38-year-old man with fever, malaise, headaches, joint pain, and rash after traveling to Brazil 10 days ago- Maculopapular rash on trunk and proximal extremities, sparing palms and soles- Conjunctival suffusion - Tender joints - Recent onset impaired hearing- Blood in ejaculate- No abnormalities on peripheral blood smearThe recent travel to Brazil and lack of mosquito protection raises suspicion for a mosquito-borne illness. The maculopapular rash sparing palms and soles along with conjunctival suffusion and arthralgias points towards Zika virus infection. The other findings of impaired hearing and hematospermia are also consistent with Zika virus. Malaria, Rocky Mountain spotted fever, Whipples disease and Chagas disease are less likely based on the clinical presentation.E: Zika virus disease 