A 28-year-old hiker in New York removes a blacklegged tick from his thigh that was engorged; he estimates attachment for ~40 hours. Presentation is wi...

Question

A 28-year-old hiker in New York removes a blacklegged tick from his thigh that was engorged; he estimates attachment for ~40 hours. Presentation is within 24 hours of removal. What is recommended?

Accepted Answer

Doxycycline 200 mg single dose within 72 hours

Answer

No prophylaxis is indicated

Answer

Amoxicillin 500 mg TID for 7 days

Answer

Cefuroxime 500 mg BID for 5 days

Answer

Topical antiseptic only

us-abfm MCQ (SBA): Lyme Disease-Post‑Exposure Prophylaxis

A 28-year-old hiker in New York removes a blacklegged tick from his thigh that was engorged; he estimates attachment for ~40 hours. Presentation is within 24 hours of removal. What is recommended?