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Lyme carditis: a rare presentation in an unexpected setting

T T Robinson¹, L Herman, R B Birrer

¹Department of Emergency Medicine, Catholic Medical Center of Brooklyn and Queens, Jamaica, NY 11432, USA.

The American Journal of Emergency Medicine

|May 22, 1998

Summary

A young man experienced seizure-like episodes due to Lyme carditis. Prompt treatment with intravenous ceftriaxone resolved his symptoms, highlighting the importance of timely diagnosis and intervention for this tick-borne illness.

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Area of Science:

Infectious Diseases
Cardiology
Neurology

Background:

Lyme disease, a tick-borne illness, can affect multiple organ systems.
Cardiac involvement, known as Lyme carditis, can present with various symptoms.

Observation:

A 27-year-old male presented with recurrent seizure-like episodes.
Initial presentation mimicked neurological conditions, necessitating a thorough diagnostic workup.

Findings:

The patient was diagnosed with Lyme carditis.
Ceftriaxone administered intravenously for six weeks led to complete symptom resolution.

Implications:

This case underscores the diverse neurological manifestations of Lyme carditis.
Early and appropriate antibiotic therapy is crucial for managing Lyme carditis effectively.

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