Question

A 35-year-old woman presents with a circular, expanding red rash on her thigh (erythema migrans). She recalls a tick bite while hiking 3 weeks ago. She is systemically well. What is the most appropriate management?

Accepted Answer

Doxycycline 100mg BD for 21 days

Answer

Urgent referral to Infectious Diseases

Answer

Serological testing for Borrelia burgdorferi

Answer

Amoxicillin 500mg TDS for 14 days

Answer

Reassurance, no treatment required

Practice question

A 35-year-old woman presents with a circular, expanding red rash on her thigh (erythema migrans). She recalls a tick bite while hiking 3 weeks ago. She is systemically well. What is the most appropriate management?