Posted by AAA from IP 207.200.116.72 on November 30, 2006 at 01:41:09:
A 26-year-old healthy, Caucasian woman comes to the physician because of a tick bite. She is in her 22nd week of pregnancy. She does not use tobacco, alcohol, or drugs. She states that she found a brown, engorged tick attached to her left leg yesterday. Her husband took it out with a pair of tweezers. On physical examination, there is mild erythema in the exterior aspect of her left leg. She is worried about the possibility of acquiring a tick-borne infection. Which of the following is the most appropriate strategy to decrease this patient’s risk for developing Lyme disease?
A) Amoxicillin prophylaxis
B) Doxycycline prophylaxis
C) Penicillin prophylaxis
D) Observation
E) Follow up with Lyme serology