A 27-year-old man comes to the physician for a follow-up appointment. He has traveled extensively the past few years through Europe and Africa backpacking. A scraping from a skin lesion is shown. In the absence of appropriate treatment, which of the following is most likely to develop in this patient?

A) Asterixis
B) Intention tremor
C) Romberg sign
D) Pill-rolling tremor
E) Uhthoff sign

