A 61-year-old with suspected Lyme after Ixodes tick bite in a high-incidence area (attached ~40 hours) presents within 48 hours of tick removal. Best ...

Question

A 61-year-old with suspected Lyme after Ixodes tick bite in a high-incidence area (attached ~40 hours) presents within 48 hours of tick removal. Best prophylaxis?

Accepted Answer

Single dose doxycycline 200 mg within 72 hours of removal

Answer

No prophylaxis for any tick bite

Answer

10 days of amoxicillin

Answer

Azithromycin 500 mg daily ×3 days

Answer

Topical antibiotics

us-abfm MCQ (SBA): Lyme Disease (Prophylaxis)

A 61-year-old with suspected Lyme after Ixodes tick bite in a high-incidence area (attached ~40 hours) presents within 48 hours of tick removal. Best prophylaxis?