The answer is lyme disease. The lyme disease which is a result from a tick bite and characterized by a large round ring with a raised swollen border at the site of the bite. Treatment at this stage can prevent systemic taking part that could main to cardiac, neurologic, and musculoskeletal indications. In addition, the cutaneous anthrax is described by a skin lesion that originates as a papule then grows into a depressed area of black eschar and impetigo is a grouping of vesicles that discharge and custom a coating on the skin. Adolescents rarely develop scarlet fever which is described by rough, red pinpoint lesions focused on the trunk and in skin folding.