[Lyme carditis].
Untreated Lyme disease can affect the heart in up to 10% of patients. Its clinical outcome and severity vary, ranging from asymptomatic minor conduction disturbances to potentially fatal arrhythmias and severe heart failure. A history of a tick bite or a typical previous skin lesion (Erythema migrans) may be absent; clinicians should therefore keep a low threshold of suspicion when facing cardiac manifestations in a patient potentially exposed to the disease in endemic areas. We report the case of a patient with Lyme carditis expressed by variable degrees of atrio-ventricular block and review the literature.
J D
JD
Arroja
A-A
AA
Fassa
M
M
Zimmermann
D000328:Adult; D025065:Borrelia burgdorferi; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*