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Published on: September 28, 2022
Lyme carditis: Early occurrence and prolonged recovery
1Department of Cardiology, Zhejiang Provincial People's Hospital, Hangzhou, China; Department of Cardiology, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Abstract:
Lyme carditis is an uncommon manifestation of early disseminated Lyme disease. This case illustrates a 66-year-old male with complaints of fatigue, myalgias, and fever after a tick bite 3days earlier. A large erythema migrans was found on the chest wall. Initial electrocardiogram showed sinus rhythm with second degree 2:1 atrioventricular (AV) block, which progressed to intermittent complete AV block rapidly. He was treated with intravenous ceftriaxone. Over the course of 2-weeks of antibiotic therapy, the intermittent high-grade AV block improved slowly and progressively. This case highlights the importance of timely diagnosis and appropriate management to achieve a favorable prognosis.
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