6 Diagnosis Ulcerative lesion on forehead Clinical Prominent cervical lymphadenopathy features Fever Systemic symptoms (headache, myalgia, chills Time of year (more common in summer Epidemiologic History of outdoor activity in coastal eatures wooded New england Possible exposure to rabbits and arthropod vectors Exposure to a pet dog6 Diagnosis Ulcerative lesion on forehead Prominent cervical lymphadenopathy Fever Systemic symptoms (headache, myalgia, chills) Time of year (more common in summer) History of outdoor activity in coastal wooded New England Possible exposure to rabbits and arthropod vectors Exposure to a pet dog Clinical features Epidemiologic features