<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old man with HIV comes to the physician because of skin lesions over his face and neck for 2 weeks. They are not itchy or painful. He does not have fever or a sore throat. He was treated for candidal esophagitis 3 months ago. He is sexually active with his wife, who knows of his condition, and uses condoms consistently. He is currently receiving triple antiretroviral therapy with lamivudine, abacavir, and efavirenz. He is 175 cm 5 ft 9 in tall and weighs 58 kg 128 lb; BMI is 18.8 kgm2. Examination shows multiple skin colored papules over his face and neck with a dimpled center. Cervical lymphadenopathy is present. The remainder of the examination is unremarkable. His hemoglobin concentration is 12.1 gdL, leukocyte count is 4,900mm3, and platelet count is 143,000mm3; serum studies and urinalysis show no abnormalities. CD4 T-lymphocyte count is 312mm3 normal 500. Which of the following is the most likely cause of this patients findings?? A: A herpesvirus, B: Bartonella, C: Papillomavirus, D: Poxvirus, E: Coccidioidesn,  <response>: This is a clinical vignette describing a 48-year-old HIV-positive man presenting with skin lesions on his face and neck. The key findings are:- Multiple skin colored papules with dimpled centers on face and neck- No itching or pain- No fever or sore throat- History of candidal esophagitis 3 months ago- On triple antiretroviral therapy - CD4 count 312mm3- Cervical lymphadenopathyBased on the clinical presentation of skin colored papules with central umbilication on the face and neck in an HIV patient with low CD4 count, the most likely diagnosis is molluscum contagiosum caused by a poxvirus infection. The other options can be ruled out:- Herpesvirus would cause vesicular lesions rather than umbilicated papules.- Bartonella would not have this skin manifestation. - Papillomavirus causes verrucous rather than umbilicated lesions.- Coccidioides is a fungal infection that would not present this way.D: Poxvirus 