Question

A 26-year-old man is bitten by an Ixodes tick while hiking in an endemic area. The tick was attached for ~48 hours and removed <24 hours ago. He is asymptomatic. What is the recommended prophylaxis?

Accepted Answer

Doxycycline 200 mg orally once within 72 hours of tick removal

Answer

Amoxicillin 500 mg orally three times daily for 10 days

Answer

No prophylaxis; observe only

Answer

Azithromycin 500 mg orally once

Answer

Cefuroxime 500 mg orally twice daily for 10 days

Practice question

A 26-year-old man is bitten by an Ixodes tick while hiking in an endemic area. The tick was attached for ~48 hours and removed <24 hours ago. He is asymptomatic. What is the recommended prophylaxis?