Atrio-ventricular block as the first presentation of disseminated Lyme disease

被引：4

作者：

Panic, Gordana ^{[2
]}

Stanulovic, Vid ^{[1
]}

Popov, Tanja ^{[2
]}

机构：

[1] Univ Novi Sad, Sch Med, Dept Pharmacol Toxicol & Clin Pharmacol, Novi Sad 21000, Serbia

[2] Inst Cardiovasc Dis Vojvodina, Clin Cardiol, Sremska Kamenica, Serbia

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2011年 / 150卷 / 03期

关键词：

Lyme disease; Carditis; Borrelia burgdorferi; Atrio-ventricular block; BORRELIA-BURGDORFERI;

D O I：

10.1016/j.ijcard.2010.02.061

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 36 year old male patient presented to emergency cardiology department because of fatigability. ECG revealed high grade II atrio-ventricular block and bradycardia of 31 beats/min. An erythema increasing in size to up to 7-8 cm in diameter appeared a month earlier and spontaneously resolved within 10 days. ELISA testing for antibodies against Borrelia burgdorferi IgM was positive and IgG titer was 1:40. Intravenous ceftriaxone 2 g qod, and 0.5 g metronidazole tid lead to regression of grade II block to grade I block within 2 days. Grade I block persisted for an additional 10 days. This is a relatively rare case of early occurrence of Lyme carditis within one month of exposure as the first sign of Lyme disease dissemination. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

引用

页码：E104 / E106

页数：3

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