Question

A 48-year-old woman who is 12 weeks pregnant presents 60 hours after a high-risk tick bite (Ixodes, duration ≥36 hours, endemic area). What is the best prophylactic management?

Accepted Answer

No prophylaxis; counsel and observe

Answer

Doxycycline 200 mg once

Answer

Amoxicillin 500 mg TID for 10 days

Answer

Cefuroxime 500 mg BID for 10 days

Answer

Azithromycin 500 mg once

Practice question

A 48-year-old woman who is 12 weeks pregnant presents 60 hours after a high-risk tick bite (Ixodes, duration ≥36 hours, endemic area). What is the best prophylactic management?