Question

A 37-year-old man returns from a wooded area with an engorged Ixodes tick attached for ~40 hours in a high-incidence area. He is asymptomatic. Best management?

Accepted Answer

Single-dose doxycycline 200 mg within 72 hours

Answer

No treatment; observe only

Answer

Doxycycline 100 mg twice daily for 10 days

Answer

Amoxicillin 500 mg three times daily for 14 days

Answer

Serologic testing today and treat if positive

Practice question

A 37-year-old man returns from a wooded area with an engorged Ixodes tick attached for ~40 hours in a high-incidence area. He is asymptomatic. Best management?