Document Detail

Complete AV block in Lyme carditis: an important differential diagnosis.
MedLine Citation:
PMID:  20464556     Owner:  NLM     Status:  MEDLINE    
Lyme disease is a tick-borne spirochetal infection that may affect the heart. Cardiac manifestations include conduction disturbances and other pathologies of the heart. We report on a 37-year old male, who was admitted to the emergency department because of dizziness and generalized tiredness. Physical examination and the initial laboratory values revealed no abnormalities. The patient's electrocardiogram on admission revealed newly diagnosed bradycardia due to atrioventricular heart block. The ventricular heart rate was 35/min. The patient was admitted to the ICU. Lyme serology and Western blot were positive for Borrelia antibodies. After institution of antibiotic therapy with ceftriaxone, atrioventricular heart block resolved rapidly. We therefore have to assume that in this patient Lyme carditis was the cause of third-degree AV block.
D Semmler; R Blank; H- J Rupprecht
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-13
Journal Detail:
Title:  Clinical research in cardiology : official journal of the German Cardiac Society     Volume:  99     ISSN:  1861-0692     ISO Abbreviation:  Clin Res Cardiol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264123     Medline TA:  Clin Res Cardiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  519-26     Citation Subset:  IM    
Medizinische Klinik, GPR-Klinikum, Rüsselsheim, Germany.
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MeSH Terms
Anti-Bacterial Agents / administration & dosage
Atrioventricular Block / diagnosis*,  drug therapy*
Ceftriaxone / administration & dosage*
Diagnosis, Differential
Lyme Disease / diagnosis*,  drug therapy*
Myocarditis / diagnosis*,  therapy*
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents; 73384-59-5/Ceftriaxone

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