Fred is a 6-year-old unvaccinated M/N Jack Russell terrier. He presents with rear limb paralysis and odd behaviors of 3 to 4 days' duration. Puncture wounds are present on physical exam. The owner says Fred always has injuries because he is an avid hunter and likes to run through the woods. What is the most likely cause of Fred's problem?

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Fred is a 6-year-old unvaccinated M/N Jack Russell terrier. He presents with rear limb paralysis and odd behaviors of 3 to 4 days' duration. Puncture wounds are present on physical exam. The owner says Fred always has injuries because he is an avid hunter and likes to run through the woods. What is the most likely cause of Fred's problem?