Question

A 32-year-old in a high-incidence Lyme region removed an Ixodes tick estimated attached for ~48 hours. Presents within 24 hours of removal, asymptomatic. Best prophylaxis?

Accepted Answer

A single dose of doxycycline 200 mg within 72 hours of tick removal

Answer

No prophylaxis is indicated

Answer

Doxycycline 200 mg once daily for 7 days

Answer

Amoxicillin 500 mg three times daily for 10 days

Answer

Cefuroxime 500 mg twice daily for 14 days

Practice question

A 32-year-old in a high-incidence Lyme region removed an Ixodes tick estimated attached for ~48 hours. Presents within 24 hours of removal, asymptomatic. Best prophylaxis?