Question

A 36-year-old hiker removes an engorged Ixodes tick from the thigh; attachment estimated at 40 hours in a high-incidence area. Best prophylaxis within 72 hours?

Accepted Answer

Doxycycline 200 mg PO once

Answer

Amoxicillin 500 mg PO three times daily for 10 days

Answer

No prophylaxis is recommended for any tick bite

Answer

Cefuroxime 500 mg PO twice daily for 14 days

Answer

Azithromycin 1 g PO once

Practice question

A 36-year-old hiker removes an engorged Ixodes tick from the thigh; attachment estimated at 40 hours in a high-incidence area. Best prophylaxis within 72 hours?