Question

A 34-year-old in Connecticut removed an engorged Ixodes tick after hiking; attachment likely >36 hours. He presents within 24 hours of removal. Best management?

Accepted Answer

Doxycycline 200 mg single dose within 72 hours

Answer

No antibiotics; observe only

Answer

Amoxicillin 500 mg TID for 14 days

Answer

Cefuroxime 500 mg BID for 10 days

Answer

Azithromycin 500 mg daily for 3 days

Practice question

A 34-year-old in Connecticut removed an engorged Ixodes tick after hiking; attachment likely >36 hours. He presents within 24 hours of removal. Best management?