| Complete AV block in Lyme carditis: an important differential diagnosis. | |
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MedLine Citation:
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PMID: 20464556 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D Semmler; R Blank; H- J Rupprecht |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-05-13 |
Journal Detail:
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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:
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Created Date: 2010-07-29 Completed Date: 2010-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264123 Medline TA: Clin Res Cardiol Country: Germany |
Other Details:
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Languages: eng Pagination: 519-26 Citation Subset: IM |
Affiliation:
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Medizinische Klinik, GPR-Klinikum, Rüsselsheim, Germany. semmd@gmx.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Bacterial Agents / administration & dosage Atrioventricular Block / diagnosis*, drug therapy* Ceftriaxone / administration & dosage* Diagnosis, Differential Humans Lyme Disease / diagnosis*, drug therapy* Male Myocarditis / diagnosis*, therapy* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 73384-59-5/Ceftriaxone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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