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Cardiac Magnetic Resonance Imaging in Lyme Carditis-A Case Series and Review of Literature
Matthew Kaczynski1, Suhani Desai1, Brian Osorio1
1Division of Cardiology, Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
Insights
Lyme carditis, a serious heart complication of Lyme disease, is challenging to diagnose. Cardiac magnetic resonance (CMR) shows promise for diagnosing this condition, as demonstrated in two case studies.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Imaging
Background:
- Lyme carditis is a rare but severe complication of early disseminated Lyme disease.
- Diagnosis is difficult due to non-specific symptoms and limited diagnostic tools for cardiac involvement.
- Cardiac magnetic resonance (CMR) is standard for cardiomyopathy but understudied in Lyme carditis.
Purpose of the Study:
- To present cases of Lyme carditis diagnosed using CMR.
- To review the current literature on CMR's utility in diagnosing Lyme carditis.
- To highlight CMR as a potential diagnostic tool for Lyme carditis.
Main Methods:
- Case report of two patients with CMR-proven Lyme carditis.
- Comprehensive literature review on CMR use in Lyme carditis.
- Analysis of diagnostic accuracy and findings in reported cases.
Main Results:
- CMR imaging successfully identified cardiac involvement in both presented cases.
- Literature review indicates CMR can reveal characteristic findings in Lyme carditis.
- CMR offers a non-invasive method to assess cardiac function and inflammation.
Conclusions:
- Cardiac magnetic resonance imaging is a valuable tool for diagnosing Lyme carditis.
- Further research is warranted to establish CMR's role in Lyme carditis management.
- CMR can aid in timely diagnosis and appropriate treatment of Lyme carditis.
Abstract:
Lyme carditis is an uncommon but potentially fatal manifestation of early disseminated Lyme disease. Timely diagnosis poses a clinical challenge due to the highly variable and non-specific symptomatology that can be easily overlooked, as well as the limited availability of specific and non-invasive diagnostic tests for assessing cardiac involvement. While cardiac magnetic resonance (CMR) imaging is the standard imaging modality for diagnosing various etiologies of cardiomyopathy, its application in Lyme carditis remains understudied. In this study, we present two cases of CMR-proven Lyme carditis and provide a comprehensive review of the existing literature on the use of CMR in this condition.
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