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Prophylaxis not recommended as should wait to see if EM or other clinical symptoms develop.
Monitor for 30 days
Generally presents within 7-14 days of bite, up to 30 days.
70-80% of patients present with a classic Erythema Migrans (EM) rash which consists of a single erythematous, expanding, > 5 cm rash +/- central clearing at the site of the tick bite.
This may be associated with symptoms such as arthralgia, headaches, fatigue and fever.
If a person develops evidence of early Lyme disease, they should consult a physician and receive appropriate antimicrobial treatment (not prophylaxis).
