Complete heart block due to Lyme carditis in two pediatric patients and a review of the literature.
Carditis is a common manifestation of adult patients with Lyme disease affecting 4-10% of Lyme patients in the United States. However, children with Lyme disease rarely present with acute carditis. The management of pediatric patients with complete heart block (CHB) secondary to Lyme carditis has not been well described. We report the acute management of 2 pediatric patients that presented in CHB secondary to Lyme disease.
Silver
Eric
E
New York Presbyterian Hospital, Columbia University, Division of Pediatric Cardiology, Arrhythmia Service, New York, NY, USA.
Pass
Robert H
RH
Kaufman
Stuart
S
Hordof
Alan J
AJ
Liberman
Leonardo
L
D000284:Administration, Oral; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002304:Cardiac Pacing, Artificial; D002316:Cardiotonic Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007275:Injections, Intravenous; D007545:Isoproterenol / Q000627:therapeutic use; D008193:Lyme Disease / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D009205:Myocarditis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology*; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D002316:Cardiotonic Agents; D002443:Ceftriaxone; D011239:Prednisolone; D007545:Isoproterenol; D008775:Methylprednisolone