Symptoms of fever nausea/vomiting

A 35-year-old man with no PMH presents to a clinic with symptoms of fever nausea/vomiting, and a progressive rash. He claims that he was hiking in Colorado with his family and a week later, developed a rash that he states “has a lot of red dots.” The rash is itchy and painful. It started from his wrist and has now progressed to his chest and trunk. The patient’s temperature = 99.3 degrees F, HR = 80, RR = 18, and BP = 110/70. Physical exam reveals a petechial rash that started on his hands (shown below) and has now spread all overe his body. Our patient denies any allergies. What is the treatment for this disease?

a. Penicillin

b. doxycycline

c. Penicillin g and ceftriaxone

d. acyclovir