A 35-year-old woman presents with a target-like rash on her thigh and a history of a tick bite while hiking in an endemic area of Ontario 1 week ago. ...

Question

A 35-year-old woman presents with a target-like rash on her thigh and a history of a tick bite while hiking in an endemic area of Ontario 1 week ago. She is afebrile and systemically well. What is the most appropriate management?

Accepted Answer

Start oral doxycycline for presumed early Lyme disease

Answer

Reassure; no treatment is required if she is asymptomatic

Answer

Order Lyme serology and wait for results before treating

Answer

Start intravenous ceftriaxone immediately

Answer

Advise topical corticosteroid only

ca-mccqe1 MCQ (SBA): Early Lyme disease management

A 35-year-old woman presents with a target-like rash on her thigh and a history of a tick bite while hiking in an endemic area of Ontario 1 week ago. She is afebrile and systemically well. What is the most appropriate management?