Lyme carditis: complete atrioventricular dissociation with need for temporary pacing.
Lyme borreliosis is a tick-borne disease. Cardiac manifestations of the disease are extremely rare. We report a case of Lyme carditis in an otherwise healthy male, who presented to the Accident & Emergency Department with chest pain, dizziness and generally symptoms indicating ischaemic heart disease. This patient, without documented history of Lyme disease, acutely developed third-degree atrioventricular block, which required placement of a transvenous pacemaker and resolved when the patient was administered doxycycline.
Xanthos
Theodoros
T
Department of Experimental Surgery and Surgical Research, Aretaieion Hospital, University of Athens Medical School, Greece. theodorosxanthos@yahoo.com
Lelovas
Pavlos
P
Kantsos
Harilaos
H
Dontas
Ismene
I
Perrea
Despina
D
Kouskouni
Evangelia
E
D000328:Adult; D000907:Antibodies, Bacterial / Q000032:analysis; D025065:Borrelia burgdorferi / Q000276:immunology*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006327:Heart Block / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006339:Heart Rate; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D008297:Male; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology
D000907:Antibodies, Bacterial