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[Lyme carditis].

P E Ballmer1, A Hany

  • 1Medizinische Klinik, Kantonsspital Winterthur.

Schweizerische Medizinische Wochenschrift
|March 12, 1988
PubMed
Summary
This summary is machine-generated.

Lyme carditis can cause heart rhythm problems like atrial fibrillation and atrioventricular block. Early doxycycline treatment resolved these arrhythmias in a 51-year-old man.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Lyme carditis, a manifestation of Lyme disease, primarily affects the heart.
  • Atrioventricular block is the most common cardiac symptom, with other arrhythmias being less frequent.
  • Previous studies highlight varied cardiac presentations including ECG alterations, cardiomegaly, and pericarditis.

Observation:

  • A 51-year-old male presented with symptoms indicative of Lyme carditis.
  • The patient exhibited atrial fibrillation and second-degree atrioventricular block.
  • A Gallium-67 scan yielded negative results for infection localization.

Findings:

  • The patient's arrhythmias, including atrial fibrillation and atrioventricular block, resolved following doxycycline therapy.

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  • This case underscores the potential for diverse arrhythmias in Lyme carditis.
  • Negative Gallium-67 scan did not preclude the diagnosis or treatment response.

    • Implications:

    • This case highlights the importance of considering Lyme carditis in patients with unexplained arrhythmias.
    • Effective treatment with doxycycline can resolve cardiac manifestations of Lyme disease.
    • Further research into the spectrum of cardiac involvement in Lyme disease is warranted.