Lyme Disease Self Assessment
A 32-year-old woman from New Jersey is evaluated because of a 3-day history of a slowly expanding lesion on her left thigh that is not painful or itching. The patient removed a tick from the site of the lesion approximately 3 weeks ago. She has documented allergies to doxycycline, sulfa drugs, and codeine.
On physical examination, she has a 10-cm ovoid erythematous lesion with no central clearing on her thigh. Examination is otherwise unremarkable. An antibody assay for Borrelia burgdorferi is negative.
Which of the following is most appropriate for treating this patient at this time?
Search this point-of-care decision support tool today. A free benefit of ACP membership.
Internal Medicine 2014 Advance Program Now Online
Details about Internal Medicine 2014's robust offerings are now available on our Website! Use the online Schedule Planner to build and save your own schedule.