ID Fellows Cup Question 20

25 year-old presents to the with right eye pain and redness for two days duration. One week ago he returned from a summer hunting trip in Oklahoma, where he was bitten by many mosquitos and removed 3 embedded ticks. During his trip, he hunted and dined on squirrel, rabbit and deer meat, which he butchered and prepared with his bare hands. He denies any animal bites, scratches, or known exposure to urine.

Initially his eyes were irritated and then progressed to photophobia and eye pain. ROS includes subjective fevers and chills. Denies diarrhea, rash, abdominal pain, muscle cramping, nausea or vomiting.

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