title: Cardiac Magnetic Resonance Characterizes Myocarditis in a 16-Year-Old Female With Lyme Disease.
abstract: Myocarditis may occur during early disseminated Lyme disease. A 16-year-old girl with serologic evidence of Borrelia burgdorferi infection and transient first-degree atrioventricular block underwent cardiac magnetic resonance imaging, which demonstrated myocardial hyperemia, edema, and delayed gadolinium enhancement. We discuss the use of T1- and T2-weighted dark blood sequences in addition to inversion recovery delayed enhancement imaging to support the diagnosis of Lyme myocarditis.
authors.affiliation: Division of Cardiology, St Christopher's Hospital for Children, Philadelphia, PA, USA Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA catherine.avitabile@tenethealth.com.
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Avitabile
authors.affiliation: Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA Departments of Pediatrics and Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Harris
authors.affiliation: Lancaster General Health, Lancaster General Hospital, Lancaster, PA, USA.
authors.forename: Devyani
authors.initials: D
authors.lastname: Chowdhury
mesh_terms: D000328:Adult; D025065:Borrelia burgdorferi; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D009205:Myocarditis / Q000000981:diagnostic imaging* / Q000382:microbiology; D009206:Myocardium / Q000473:pathology
keywords: Lyme disease; cardiac magnetic resonance; delayed enhancement; myocarditis