Doxycycline for all, #blessed

A 37 year old woman presents with concern for a bite. She collects caterpillars for her hobby and takes a particular liking to pink fuzzy ones. She was hiking in near her lake house and when she returned home she noticed a rash on her RLQ of her abdomen. She posted the photo to instagram as #trueblood and #oncebitten, however it was too painful to touch and none of her followers offered any medical advice so she presented to the ED for further evaluation. She also added #blessed, but still no advice.

Which of the following is true?

A. Acute prophylactic management does not effectively prevent cardiac manifestations

B. The majority of patients recall being bite by a tick

C. Lyme disease manifests as arthritis within the first 2 weeks of infection

D. Amoxicillin and Doxycycline have equal efficacy for early localized disease

E. Serologic testing is often false positive during the first two weeks


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Blake Briggs