Question

A 34-year-old hiker removed an engorged blacklegged (Ixodes) tick from his thigh 48 hours ago in a highly endemic area. The tick was attached for approximately 40 hours. He is asymptomatic. Best management?

Accepted Answer

Doxycycline 200 mg orally once within 72 hours

Answer

Reassurance only

Answer

Amoxicillin 500 mg TID for 10 days

Answer

Azithromycin 500 mg once

Answer

Cefuroxime 500 mg BID for 7 days

Practice question

A 34-year-old hiker removed an engorged blacklegged (Ixodes) tick from his thigh 48 hours ago in a highly endemic area. The tick was attached for approximately 40 hours. He is asymptomatic. Best management?