title: Lyme Myocarditis Presenting as Chest Pain in an Adolescent Girl.
abstract: A previously healthy adolescent girl presented to the emergency department with new onset chest and right upper quadrant abdominal pain. Laboratory studies and imaging were consistent with myocarditis. She developed heart block after admission and required stabilization in the cardiac intensive care unit. Lyme serology returned positive, and her condition was diagnosed as Lyme disease-associated myocarditis.
authors.affiliation: From the *Department of Pediatrics, Division of Pediatric Emergency Medicine, Johns Hopkins Hospital, Baltimore, MD; †Division of Emergency Medicine, Department of Pediatrics, Ruth and Raymond Perelman School of Medicine at The Children's Hospital of Philadelphia, University of Pennsylvania; and ‡Pediatric Residency Program, The Children's Hospital of Philadelphia, Philadelphia, PA.
authors.forename: Jennifer N
authors.initials: JN
authors.lastname: Fishe
authors.forename: Ronald F
authors.initials: RF
authors.lastname: Marchese
authors.forename: James M
authors.initials: JM
authors.lastname: Callahan
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*; D009205:Myocarditis / Q000382:microbiology*