I am a nurse practitioner in NH. Today saw a 68 year old man with 5 day hx of dry cough, headache, body aches, fever to 101, now has diarrhea and nausea and since onset of symptoms has rash: his trunk nearly covered with large ovals ( up to 20 cm across) of flat pink rash, barely raised at edges and slight central clearing. Pending testing for CMP, CBC w diff, sed rate, lyme and Parvovirus B19. no known tick bites. any ideas?