Lyme Disease Self Assessment
A 19-year-old woman from Indianapolis comes to the emergency department of a New Jersey hospital with a tick on her right arm. She first noted the tick 9 hours ago. The patient was on a 2-week college industrial-ecologic field trip, during which time she toured a factory or a nature habitat each day and returned to the hotel each evening. She showered daily. She is healthy and takes no medications.
The emergency department physician identified the tick as an Ixodes scapularis nymph that was not engorged. After removing the tick, there was no evidence of redness or inflammation at the site of the bite, although the tick had definitely been attached. No residual tick parts were left in the skin.
Which of the following is the most appropriate management at this time?
Search PIER® - Decision Support
ACP Members Only. Decision support for over 460 clinical topics.
Quality Improvement Programs: Our Center for Quality develops programs to bridge the gap between research and practice.
Adult Immunization: Inform, Implement, Immunize: ACP's Immunization Outreach Program
Earn MOC Points for Medical Knowledge
ACP offers its members many ways to earn ABIM MOC points for Medical Knowledge and to make the process easier. See our MOC Timeline Page for details.
Ceramic Bistro-Style ACP Mug
Enjoy your morning brew and show your ACP spirit with our 15-ounce dishwasher- and microwave-safe mug. Enjoy free shipping within the continental U.S.