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Tick bite

Tick bite

Clinical Scenario
A 35 year old male is eating breakfast while on a camping trip in upstate New York when he finds a deer tick embedded into his forearm that is minimally engorged with blood. He knows that the tick has been there for less than 12 hours because he just arrived at the campsite yesterday night. He immediately cuts his camping trip short and goes back to the city to seek medical evaluation as he is concerned about Lyme disease. On evaluation, his vital signs and physical exam are normal and he has no specific complaints. No rash is identified.
Question
What is the next best step in management to address the patient's concern about Lyme disease?
  • Administer a single dose of oral doxycycline for prophylaxis
  • Administer a single dose of IV ceftriaxone for prophylaxis
  • Prescribe a 2-4 week course of doxycycline for empiric treatment
  • Prescribe a 2-4 week course of amoxicillin for empiric treatment
  • Admit for empiric treatment with IV ceftriaxone
  • Reassurance with no antibiotics
  • Question
    What is the next best step in management to address the patient's concern about Lyme disease?
  • Administer a single dose of oral doxycycline for prophylaxis
  • Administer a single dose of IV ceftriaxone for prophylaxis
  • Prescribe a 2-4 week course of doxycycline for empiric treatment
  • Prescribe a 2-4 week course of amoxicillin for empiric treatment
  • Admit for empiric treatment with IV ceftriaxone
  • Reassurance with no antibiotics
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