A tick beat in the electrocardiogram: Persistent third degree block as only manifestation of Lyme disease

被引：5

作者：

Alberto Jimenez-Castillo, Raul ^{[1
]}

Francisco Carrizales-Sepulveda, Edgar ^{[1
]}

Vera-Pineda, Raymundo ^{[1
]}

Luis Herrera-Elizondo, Jose ^{[1
]}

Garcia-Sarreon, Alexis ^{[1
]}

Ledif Reyes-Mondragon, Alan ^{[1
]}

Mercado-Dominguez, Elizabeth ^{[1
]}

Javier Marfil-Rivera, Luis ^{[1
]}

机构：

[1] Univ Autonoma Nuevo Leon, Hosp Univ, Internal Med Dept, Ave Francisco I Madero 1500, Monterrey 64460, Nuevo Leon, Mexico

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2019年 / 52卷

关键词：

Lyme carditis; Complete AV block; Syncope; Dyspnea; ATRIOVENTRICULAR-BLOCK; HEART-BLOCK;

D O I：

10.1016/j.jelectrocard.2018.12.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Lyme disease is the most common tick-borne illness in North America. A 23-year-old female presented to our emergency department with a chief complaint of sudden dyspnea and chest pain. An electrocardiogram revealed a third degree heart block. She was a resident of the Northeast region of Mexico and referred a recent travel to an endemic area for Borrelia burgdorferi in the center of Mexico in the past weeks. Lyme carditis was diagnosed after enzyme linked immunosorbent assay for IgM antibodies against B. burgdorferi was reported positive and corroborated by a confirmatory immunoblot analysis. Persistent AV block was the only manifestation in our patient, a presentation scarcely reported in literature. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：109 / 111

页数：3

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