scholarly journals Lyme Carditis Manifesting as Wenckebach Heart Block

Cureus ◽  
2021 ◽  
Author(s):  
Iyad Aljadba ◽  
Krithika Suresh ◽  
Khandakar M Hussain
Keyword(s):  
Heart Block ◽  
Lyme Carditis

Complete Heart Block Due to Lyme Carditis in Two Pediatric Patients and a Review of the Literature

2007 ◽  
Vol 2 (5) ◽  
pp. 338-341 ◽  
Author(s):  
Eric Silver ◽  
Robert H. Pass ◽  
Stuart Kaufman ◽  
Alan J. Hordof ◽  
Leonardo Liberman
Keyword(s):  
Heart Block ◽  
Pediatric Patients ◽  
Complete Heart Block ◽  
Review Of The Literature ◽  
Lyme Carditis

scholarly journals A 34-Year-Old Woman with Third-Degree Heart Block and Atrial Flutter Associated with Lyme Carditis: A Case Report

2021 ◽  
Vol 22 ◽  
Author(s):  
Vishal Khetpal ◽  
Tyler W. Wark ◽  
Rebecca Masel ◽  
Cao Thach Tran ◽  
Philip Haines
Keyword(s):  
Case Report ◽  
Atrial Flutter ◽  
Heart Block ◽  
Lyme Carditis ◽  
Degree Heart Block

scholarly journals Emergent pacemaker placement in a patient with Lyme carditis-induced complete heart block and ventricular asystole

2016 ◽  
pp. bcr2016214474 ◽  
Author(s):  
Adam J Brownstein ◽  
Samir Gautam ◽  
Paras Bhatt ◽  
Michael Nanna
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Lyme Carditis ◽  
Pacemaker Placement

scholarly journals Lyme carditis presenting as atrial fibrillation in a healthy young male

2019 ◽  
Vol 12 (6) ◽  
pp. e229261 ◽  
Author(s):  
Muhammad Asim Shabbir ◽  
Muhammad Hamza Saad Shaukat ◽  
Muhammad Hashaam Arshad ◽  
Joseph Sacco
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Heart Block ◽  
Normal Sinus Rhythm ◽  
Young Male ◽  
Rare Presentation ◽  
Normal Sinus ◽  
Lyme Carditis ◽  
Appropriate Treatment ◽  
High Degree

We present a case of a 23-year-old man coming with palpitations, found to be in atrial fibrillation (AF). He was initially managed with metoprolol for rate-controlled therapy—reverted to normal sinus rhythm and discharged home. He returned a few days later—this time in varying degrees of atrioventricular block including transient complete heart block. He was empirically started on intravenous ceftriaxone for suspected Lyme carditis, which subsequently led to the resolution of high-degree heart block. Lyme immunoglobulin G (IgG) and IgM returned positive. Follow-up ECG after the course of antibiotic exhibited normal sinus rhythm. AF is a rare presentation of Lyme disease but still exists. It should be considered in terms of appropriate treatment, especially in Lyme-endemic areas.

scholarly journals First case report of inducible heart block in Lyme disease and an update of Lyme carditis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Don Walter Kannangara ◽  
Sindhu Sidra ◽  
Patel Pritiben
Keyword(s):  
Case Report ◽  
Lyme Disease ◽  
Heart Block ◽  
Lyme Carditis ◽  
First Case

scholarly journals Lyme Carditis in an Immunocompromised Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Coben Thorn
Keyword(s):  
Heart Block ◽  
Solid Organ ◽  
Lyme Carditis ◽  
Number Of Patients ◽  
Chief Complaints ◽  
Immunosuppressed Patients ◽  
History Of ◽  
Treatment Plans ◽  
Vector Borne ◽  
Special Patient Population

We present a case of a 68-year-old man with a history of liver transplant and of chronic immunosuppression therapy who presented to the emergency department (ED) for fevers and worsening fatigue for two days. On further investigation, the patient was found to have a new first-degree heart block on his electrocardiograph. Coupled with the history of a recent tick bite, the patient was diagnosed with vector-borne carditis. Although the patient’s titers for various vectors remained negative, due to a long history of immunosuppression, he was treated for Lyme disease and his heart block completely resolved with antibiotic treatment. We describe details of the case as well as discuss the impacts of immunosuppression on vector-borne disease. Immunosuppressed patients represent a special population and can present with chief complaints made even more complicated by their medical history, and this case illustrates the importance of being mindful of how immunosuppression can affect a patient’s presentation. As the efficacy of antirejection medications improved, the ED may see an increasing number of patients with solid organ transplants. A greater understanding of this special patient population is key to formulating optimal treatment plans.

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