During your shift in the emergency department you pick up th…

During your shift in the emergency department you pick up the chart of a 25-year-old male patient who is complaining of a fever for the past three days with night sweats, and body aches.  He is also concerned about the strange rash on his hand. Physical exam is positive for a murmur and non-blanching rash seen in photo on his skin.  Which of the following is the most likely diagnosis?