Question

A 27-year-old hiker had a confirmed Ixodes scapularis tick attached for ~48 hours in a high-incidence area; removed 24 hours ago. Asymptomatic. Best management?

Accepted Answer

Single dose doxycycline 200 mg within 72 hours of removal

Answer

No prophylaxis; observe only

Answer

Doxycycline 100 mg twice daily for 7 days

Answer

Amoxicillin 500 mg TID for 10 days

Answer

Topical antiseptic and return if rash develops

Practice question

A 27-year-old hiker had a confirmed Ixodes scapularis tick attached for ~48 hours in a high-incidence area; removed 24 hours ago. Asymptomatic. Best management?