A 50 year old presents to your office after a recent trip to Cape Cod. He reports fever, night sweats, myalgia, arthralgia, nausea, vomiting, and fatigue. On exam, you note hepatosplenomegaly. Lab findings show anemia, thrombocytopenia, and conjugated hyperbilirubinemia. Frustrated with these non-specific findings, you order a blood smear, shown above.
Challenge: What is the vector for this disease?
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