Question

A 34-year-old hiker had an Ixodes tick attached for approximately 48 hours in an endemic area and presents 24 hours after removal. He has no symptoms. What is the best management?

Accepted Answer

Single dose doxycycline 200 mg within 72 hours

Answer

Reassurance only

Answer

Two-week doxycycline course

Answer

Amoxicillin for 10 days

Answer

Serologic testing now and treat if positive

Practice question

A 34-year-old hiker had an Ixodes tick attached for approximately 48 hours in an endemic area and presents 24 hours after removal. He has no symptoms. What is the best management?