Question

A 32-year-old hiker removed an engorged Ixodes tick from his thigh 48 hours after a hike in an endemic area. The tick was likely attached for >36 hours. What is the recommended post-exposure prophylaxis?

Accepted Answer

Single dose doxycycline 200 mg PO within 72 hours

Answer

No prophylaxis; observe

Answer

Doxycycline 100 mg PO bid for 7 days

Answer

Amoxicillin 500 mg PO tid for 10 days

Answer

Cefuroxime 500 mg PO bid for 7 days

Practice question

A 32-year-old hiker removed an engorged Ixodes tick from his thigh 48 hours after a hike in an endemic area. The tick was likely attached for >36 hours. What is the recommended post-exposure prophylaxis?