Review Question - QID 109625

A 38-year-old female presents to the emergency room complaining of jaw pain and an inability to swallow. She reports that she is unable to fully open her mouth. She recently went on a multi-day hike in the mountains where she stepped on a nail sticking out of a piece of rotting wood. She also had several insect bites on the hike. She received all of her childhood vaccinations but has not received any vaccinations since she was in college. Her temperature is 99°F (37.2°C), blood pressure is 115/75 mmHg, pulse is 100/min, and respirations are 18/min. On examination, she has limited range of motion in her jaw. She has a 1 cm x 1 cm erythematous puncture wound on the sole of her right foot. A Gram stain of a wound culture is shown in Figure A. Immunohistochemical staining is positive for dipicolinic acid. Which of the following diseases is caused by an organism that produces a similar structure to the one seen on staining?