title: [Unclassified cardiomyopathy or Lyme carditis? A three year follow-up].
abstract: Lyme carditis can be a clinical manifestation of the early disseminated stage of Lyme disease caused by the tick-transmitted pathogen Borrelia burgdorferi. We present the case of a 41 year-old Caucasian woman referred to our hospital with symptoms of fatigue, progressive exertional dyspnoea, supraventricular cardiac arrhythmia, and an enlarged heart revealed on chest radiography. Following an untypical result of transthoracic echocardiography, cardiac magnetic resonance was performed. This showed structural cardiac changes and focus of late gadolinium enhancement in the midwall of the apex region. Further diagnostic processes, including endomyocardial biopsy and serology tests, made it possible to diagnose Lyme carditis. Clinical observation was followed-up for three years.
authors.affiliation: Department of Cardiology, 2nd Medical Faculty, Medical University, Warsaw, Poland. marcin.konopka@op.pl
authors.forename: Marcin
authors.initials: M
authors.lastname: Konopka
authors.forename: Marek
authors.initials: M
authors.lastname: Kuch
authors.forename: Wojciech
authors.initials: W
authors.lastname: Braksator
authors.forename: Ewa
authors.initials: E
authors.lastname: Walczak
authors.forename: Maciej
authors.initials: M
authors.lastname: Jakuciński
authors.forename: Dariusz
authors.initials: D
authors.lastname: Lipowski
authors.forename: Mirosław
authors.initials: M
authors.lastname: Dłużniewski
mesh_terms: D000328:Adult; D001706:Biopsy; D006332:Cardiomegaly / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D009205:Myocarditis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D012698:Serologic Tests; D013617:Tachycardia, Supraventricular / Q000175:diagnosis / Q000209:etiology