Question

A 25-year-old hiker in Massachusetts removed a tick identified as Ixodes scapularis within 24 hours; it was not engorged. He is asymptomatic. Best management?

Accepted Answer

No antibiotics; observe and educate

Answer

Single 200 mg doxycycline dose for prophylaxis

Answer

10-day doxycycline course

Answer

Amoxicillin 500 mg TID x14 days

Answer

Cefuroxime 500 mg BID x10 days

Practice question

A 25-year-old hiker in Massachusetts removed a tick identified as Ixodes scapularis within 24 hours; it was not engorged. He is asymptomatic. Best management?