07-25-2006, 02:26 AM
A 6-year-old child is brought to your office because a tiny tick was found and removed from his forearm. The parents are unsure how long the tick had been attached, although they thought that it probably had not been there for more than 1 day. They live in an area in which Lyme disease is common. The next step in the proper treatment of this patient should be to
A) send the tick to be tested for infection with B. burgdorferi
B) reassure the parents that the risk of infection is small and have them observe the area around the bite for the development of a rash
C) begin prophylactic treatment with amoxicillin
D) order a serologic test for antibodies against B. burgdorferi in the child
E) wait 1 month and then order a serologic test for antibodies against B. burgdorferi in the child
A) send the tick to be tested for infection with B. burgdorferi
B) reassure the parents that the risk of infection is small and have them observe the area around the bite for the development of a rash
C) begin prophylactic treatment with amoxicillin
D) order a serologic test for antibodies against B. burgdorferi in the child
E) wait 1 month and then order a serologic test for antibodies against B. burgdorferi in the child