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Lyme Carditis: An Interesting Trip to Third-Degree Heart Block and Back

Maxwell Eyram Afari1, Fady Marmoush1, Mobeen Ur Rehman1

  • 1Department of Medicine, Memorial Hospital of Rhode Island, Alpert Medical School, Brown University, Pawtucket, RI, USA.

Case Reports in Cardiology
|November 29, 2016
PubMed

Insights

Lyme disease can cause carditis, leading to heart block. Prompt treatment with ceftriaxone resolved heart block in a young female, highlighting the need for early recognition of cardiac issues in Lyme disease patients.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Tick-borne Illnesses

Background:

  • Carditis is a rare manifestation of early disseminated Lyme disease.
  • Cardiac conduction abnormalities can rapidly progress in Lyme disease.

Purpose of the Study:

  • To report a case of Lyme carditis presenting with progressive heart block.
  • To emphasize the importance of early diagnosis and management of cardiac complications in Lyme disease.

Main Methods:

  • Case report of a young female with erythema migrans and Lyme disease.
  • Monitoring of cardiac conduction and treatment with intravenous ceftriaxone.

Main Results:

  • The patient developed first-degree heart block, progressing to complete heart block within hours.
  • Complete resolution of heart block was observed following ceftriaxone administration.

Conclusions:

  • Lyme carditis can present with rapidly progressing atrioventricular block.
  • Early recognition and treatment are crucial for managing cardiac conduction abnormalities in Lyme disease.

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