A 45-year-old woman presents with a 10cm diameter, expanding red rash (erythema migrans) on her thigh, which appeared 2 weeks after a tick bite. She i...

Question

A 45-year-old woman presents with a 10cm diameter, expanding red rash (erythema migrans) on her thigh, which appeared 2 weeks after a tick bite. She is systemically well. What is the most appropriate management?

Accepted Answer

Oral Doxycycline for 21 days

Answer

Serological testing (ELISA) for Borrelia burgdorferi

Answer

IV Ceftriaxone

Answer

Oral Amoxicillin for 7 days

Answer

Topical steroid cream

mrcgp akt MCQ (SBA): Lyme Disease

A 45-year-old woman presents with a 10cm diameter, expanding red rash (erythema migrans) on her thigh, which appeared 2 weeks after a tick bite. She is systemically well. What is the most appropriate management?