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ANSWER 9
WHY not the others?
SALIENT POINTS:
Especially with water exposure, this case could be leptospirosis except that doxycycline prophylaxis should have been protective.
This syndrome could be malaria although the rash would push towards other diagnoses, and the doxycycline should have offered a high degree of protection.
Acute toxoplasmosis presents as an infectious mononucleosis-like syndrome.