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A 16-year-old female presents to the hospital with fever, rash, headache, and body aches ten days after a camping trip in the Southeastern United States. Physical examination shows generalized lymphadenopathy and a maculopapular rash on the thorax and extremities. Vital signs are as follows: blood pressure 105/76 mmHg, pulse 102/min, respiratory rate 22/min, and temperature 39.4 C (102.9 F). What is the primary site of proliferation of the most likely causative organism?
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