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[Heart involvement in Lyme borreliosis. Case report]
1Kardiocentrum fakultní nemocnice, Praha, Motol.
Ceskoslovenska Pediatrie
|May 1, 1990
Summary
Lyme carditis can be the sole manifestation of Lyme disease, presenting initially as syncope due to heart block. Prompt diagnosis and treatment, including potential cardiac pacing, lead to full recovery.
Area of Science:
- Infectious Diseases
- Cardiology
- Internal Medicine
Background:
- Lyme disease is a multisystemic infection caused by Borrelia burgdorferi.
- Diagnosis can be challenging, particularly when classic skin manifestations like erythema chronicum migrans are absent.
Observation:
- A patient presented with syncope attributed to complete atrioventricular block, with no history of tick bite.
- Electrocardiogram showed dynamic changes during cardiac pacing, and echocardiography indicated left ventricular dysfunction.
Findings:
- Immunological tests confirmed Lyme disease.
- The patient experienced a complete recovery following treatment with cardiac pacing, digitalis, and antibiotics.
Implications:
- Lyme carditis can be the exclusive clinical presentation of Lyme disease.
- Temporary cardiac pacing may be required for managing severe atrioventricular block in Lyme carditis.
- Early recognition and intervention are crucial for favorable outcomes in Lyme carditis.