Lyme Disease Self Assessment

Question 2

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?

(A) Observation
(B) Amoxicillin, 500 mg orally three times daily for 10 days
(C) Azithromycin, 1 g orally daily for 10 days
(D) Cefuroxime-axetil, 500 mg orally twice daily for 10 days
(E) Doxycycline, 200 mg orally once daily

Search PIER® - Decision Support

ACP Members Only. Decision support for over 460 clinical topics.

Quality Improvement Programs: Our Quality Improvement programs strive to bridge the gap between research and practice.

Adult Immunization: Inform, Implement, Immunize: ACP's Immunization Outreach Program

MKSAP 15 Discount 10% Off

MKSAP 15 Discount 10% Off

Get ready for the New Year with the newest edition of MKSAP. Enjoy a 10% discount off MKSAP 15 for a limited time. You must order by December 11, 2009 and use priority code E9048 to get the discount.

Holiday Gift offer - 10% off

Holiday Gift offer - 10% off

A great gift for a colleague or yourself - Landmark Papers in Internal Medicine: The First 80 Years of Annals of Internal Medicine. Enjoy a 10% discount when you order by December 11, 2009 and use priority code E9049.