A 26-year-old with tick removal 24 hours ago in an endemic area; the tick was Ixodes and attached ≥36 hours. Best management to prevent Lyme disease?...

Question

A 26-year-old with tick removal 24 hours ago in an endemic area; the tick was Ixodes and attached ≥36 hours. Best management to prevent Lyme disease?

Accepted Answer

Single dose doxycycline 200 mg within 72 hours

Answer

Amoxicillin 500 mg tid for 10 days

Answer

No prophylaxis; test serology now

Answer

Cefuroxime 500 mg bid for 7 days

Answer

Doxycycline 100 mg bid for 7 days

us-abfm MCQ (SBA): Lyme Disease Prophylaxis