[Lyme carditis presenting as acute coronary syndrome: a case report].
A case of a 26-year-old man with Lyme carditis (LC) mimicking acute coronary syndrome is presented. Considering clinical presentation, electrocardiographic findings and markedly elevated levels of cardiac biomarkers, emergency coronary angiography was performed and revealed normal coronaries. Ventricular arrhythmias of Lown grade IVb during catheterization were recorded. Echocardiography showed mild global left ventricular dysfunction with ejection fraction of 50%. The diagnosis of LC was confirmed by ELISA and Western blot serologic testing. After 21 days of continuous antibiotic therapy with ceftriaxone (2.0 g/d) the patient recovered completely. We also present the current state of knowledge on the cardiovascular aspects of Lyme borreliosis.
Rostoff
Paweł
P
Klinika Choroby Wieńcowej, Instytut Kardiologii, Collegium Medicum Uniwersytetu Jagiellońskiego, Krakowski SzpitalSpecjalistyczny im. Jana Pawła II, Kraków. prostoff@vp.pl
Konduracka
Ewa
E
El Massri
Nader
N
Gackowski
Andrzej
A
Kruszec
Paweł
P
Zmudka
Krzysztof
K
Piwowarska
Wiesława
W
D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000382:microbiology*; D000328:Adult; D025065:Borrelia burgdorferi; D002443:Ceftriaxone / Q000008:administration & dosage; D004562:Electrocardiography; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000188:drug therapy; D008297:Male; D016896:Treatment Outcome
D002443:Ceftriaxone