Chest pain in a military recruit.
Lyme borreliosis remains an important and common vector-borne illness in the United States, Europe, and Asia. In the majority of cases, it presents as a localized rash that seldom causes further complications with antibiotic treatment. If left undetected however, various neurologic, cardiovascular, and musculoskeletal manifestations may occur. Reported here is the case of a basic military trainee who first presented with cardiac manifestations of Lyme disease, highlighting this tick-borne illness as a rare, easily forgotten, and treatable cause of complete heart block.
Beck
Amy S
AS
Department of Internal Medicine and Department of Infectious Diseases, Wilford Hall Medical Center, Lackland AFB, Texas 78236, USA. amy.beck@lackland.af.mil
Okulicz
Jason F
JF
Rasnake
Mark S
MS
D000293:Adolescent; D002637:Chest Pain / Q000209:etiology; D004562:Electrocardiography; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008889:Military Personnel; D009205:Myocarditis / Q000175:diagnosis / Q000209:etiology