A 28 year old male presents to the office for complaints of…
A 28 year old male presents to the office for complaints of a rash on the palms of his hands and the soles of his feet. He reports it started about 1 week ago and he has used hydrocortisone on it without any resolution. He reports that he has felt tired and weak and has had a fever of 101.4 on and off for the past week. He denies headaches, chills, neck pain, nausea, vomiting or diarrhea. He denies smoking, etoh and drugs. He is sexually active with 2 other male partners in the past 1 month and 6 in the past year. He notes that he did have a lesion on his penis a 3-4 weeks ago which has resolved. On exam, you note some tender adenopathy in the inguinal nodes as well as bilateral supraclavicular nodes. He appears tired and in the office he has a temperature of 100.2. He has negative Brudinski and Kernig signs. What is his likely diagnosis and treatment plan?
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