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[Lyme disease and the forms of its manifestation in Bulgaria]
Vutreshni Bolesti
|January 1, 1990
Insights
This report details two cases of Lyme disease affecting the heart in Bulgaria, presenting with different degrees of atrioventricular (A-V) block. Epidemiological factors supported the cardiac Lyme disease diagnosis in both patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Epidemiology
Background:
- Lyme disease, a tick-borne illness, can manifest with cardiac involvement.
- Cardiac Lyme disease can present with various atrioventricular (A-V) conduction abnormalities.
Observation:
- Two patients in Bulgaria with serologically confirmed Lyme disease exhibited cardiac symptoms.
- The first patient presented with a third-degree A-V block, while the second had a first-degree A-V block.
Findings:
- The study presents the first documented cases of cardiac Lyme disease in Bulgaria.
- Diagnostic confirmation was supported by epidemiological data, including endemic location and patient history of insect bites.
Implications:
- Highlights the importance of considering Lyme disease in patients with cardiac conduction abnormalities, especially in endemic areas.
- Underscores the need for increased awareness and diagnostic capabilities for Lyme disease in Bulgaria.
Abstract:
Two cases of serologically proved cardiac form of Lyme's disease are presented (for the first time in Bulgaria). An A-V block III degree was found in the first patient and an A-V block I degree in the second patient. The diagnosis is supported by epidemiologic data--endemic region, other patients with Lyme's disease, insects bite, season, etc.