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Question 224 · LEK · Lyme disease

Parents removed a tick from the skin of their 5-year-old child. After 10 days erythema occurred in the bite mark and it gradually increased. During physical examination the erythema has 7 cm in diameter and has a clearing in the central part. What is the proper management in this case?

  1. A. lab test should be performed to check for specific antibodies against Borrelia burgdorferi sensu lato with an ELISA method.
  2. B. lab test should be performed to check for specific antibodies against Borrelia burgdorferi sensu lato with a western blot method.
  3. C. lab test should be performed to check for specific antibodies against Borrelia burgdorferi sensu lato with an ELISA method, and then with a western blot method.
  4. D. serological diagnostics is not necessary; doxycycline should be administered for 14 days.
  5. E. serological diagnostics is not necessary; amoxicillin should be administered for 14 days.
Hint

Decide whether this skin lesion is a clinical diagnosis, then choose an antibiotic suitable for a child of this age.

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