Lyme carditis: persistent local delayed enhancement by cardiac magnetic resonance imaging.
Lyme borreliosis (LB) is the most common tick-born disease in the Northern Hemisphere. During early disseminated Lyme disease cardiac manifestation can occur. We report a case of isolated Lyme myocarditis with transitory total atrioventricular (AV)-block and myocardial necrosis indicated by a rise in Troponin-T (TNT). Antibiotic treatment resulted in complete resolution of the AV-block, but a local epimyocardial contrast enhancement persisted as shown by cardiac magnetic resonance imaging (MRI).
Munk
Peter Scott
PS
Ørn
Stein
S
Larsen
Alf Inge
AI
D000328:Adult; D002443:Ceftriaxone / Q000627:therapeutic use; D004562:Electrocardiography; D005500:Follow-Up Studies; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D002443:Ceftriaxone