title: Lyme carditis.
abstract: Lyme disease is a common disease that uncommonly affects the heart. Because of the rarity of this diagnosis and the frequent absence of other concurrent clinical manifestations of early Lyme disease, consideration of Lyme carditis demands a high level of suspicion when patients in endemic areas come to attention with cardiovascular symptoms and evidence of higher-order heart block. A majority of cases manifest as atrioventricular block. A minority of Lyme carditis cases are associated with myopericarditis. Like other manifestations of Lyme disease, carditis can readily be managed with antibiotic therapy and supportive care measures, such that affected patients almost always completely recover.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, 1830 East Monument Street, Room 448, Baltimore, MD 21287, USA.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Robinson
authors.affiliation: The Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases, Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, 725 North Wolfe Street, PTCB - Room 231, Baltimore, MD 21287, USA.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Kobayashi
authors.affiliation: The Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases, Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, 725 North Wolfe Street, PTCB - Room 231, Baltimore, MD 21287, USA.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Higgins
authors.affiliation: Division of Cardiology, Department of Medicine, Johns Hopkins University, 600 North Wolfe Street, Sheikh Zayed Tower, Room 7125R, Baltimore, MD 21287, USA.
authors.forename: Hugh
authors.initials: H
authors.lastname: Calkins
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, 1830 East Monument Street, Room 448, Baltimore, MD 21287, USA. Electronic address: mmelia4@jhmi.edu.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Melia
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D054537:Atrioventricular Block / Q000209:etiology* / Q000628:therapy; D025065:Borrelia burgdorferi; D003937:Diagnosis, Differential; D006801:Humans; D008193:Lyme Disease / Q000188:drug therapy; D009205:Myocarditis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D010138:Pacemaker, Artificial
chemical_list: D000900:Anti-Bacterial Agents
keywords: AV block; Heart block; Lyme carditis; Lyme disease; Pericarditis