A 45-year-old woman returns from a camping trip in an endemic area of Ontario and presents with an expanding erythematous rash with central clearing o...

Question

A 45-year-old woman returns from a camping trip in an endemic area of Ontario and presents with an expanding erythematous rash with central clearing on her thigh and mild flu-like symptoms. What is the most appropriate management?

Accepted Answer

Start oral doxycycline for early Lyme disease

Answer

Reassure and observe without treatment

Answer

Start intravenous ceftriaxone immediately

Answer

Obtain Lyme serology and wait for results before treatment

Answer

Treat with topical antibiotics only

ca-mccqe1 MCQ (SBA): Lyme disease

A 45-year-old woman returns from a camping trip in an endemic area of Ontario and presents with an expanding erythematous rash with central clearing on her thigh and mild flu-like symptoms. What is the most appropriate management?