A 53 year old patient presented to the physician with manife…
A 53 year old patient presented to the physician with manifestations characterized as chronic arthritis of the large joints. Synovial fluid is exudative, however, rheumatoid factor is not detected. The patient gave a history of spending his summer vacation with his parents in Wisconsin where he spent time picking blackberries. He recalled being bitten by some type of “insect” that produced a small erythematous lesion that had a bullseye appearances. The lesion disappeared within a few weeks. Based on this history, the physician should suspect which of the following conditions?