Document Detail

Atrio-ventricular block as the first presentation of disseminated Lyme disease.
MedLine Citation:
PMID:  20226549     Owner:  NLM     Status:  In-Data-Review    
A 36year old male patient presented to emergency cardiology department because of fatigability. ECG revealed high grade II atrio-ventricular block and bradycardia of 31beats/min. An erythema increasing in size to up to 7-8cm in diameter appeared a month earlier and spontaneously resolved within 10days. ELISA testing for antibodies against Borrelia burgdorferi IgM was positive and IgG titer was 1:40. Intravenous ceftriaxone 2g qod, and 0.5g metronidazole tid lead to regression of grade II block to grade I block within 2days. Grade I block persisted for an additional 10days. This is a relatively rare case of early occurrence of Lyme carditis within one month of exposure as the first sign of Lyme disease dissemination.
Gordana Panic; Vid Stanulovic; Tanja Popov
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Publication Detail:
Type:  Journal Article     Date:  2010-03-11
Journal Detail:
Title:  International journal of cardiology     Volume:  150     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e104-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier B.V. All rights reserved.
Institute of Cardiovascular Diseases of Vojvodina, Clinic of Cardiology, Sremska Kamenica, Serbia.
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