Question

A 29-year-old hiker removed a tick from his leg 24 hours ago in an endemic area. The tick was Ixodes scapularis, flat/not engorged. What is the best management?

Accepted Answer

No antibiotics; observe and educate

Answer

Single dose doxycycline 200 mg within 72 hours

Answer

Doxycycline 100 mg twice daily for 10 days

Answer

Amoxicillin 500 mg three times daily for 14 days

Answer

Azithromycin 500 mg daily for 3 days

Practice question

A 29-year-old hiker removed a tick from his leg 24 hours ago in an endemic area. The tick was Ixodes scapularis, flat/not engorged. What is the best management?