Journal of
Infectious Diseases and Immunity

  • Abbreviation: J. Infect. Dis. Immun.
  • Language: English
  • ISSN: 2141-2375
  • DOI: 10.5897/JIDI
  • Start Year: 2009
  • Published Articles: 80

Case Report

A rare cause of complete atrioventricular block: Lyme carditis

Mesut Aydin1*, Serkan Bulur1, Yasin Turker1, Hakan Ozhan1, Kezban Ozmen Suner2 and Ahmet Sahin3
1Department of Cardiology, Düzce Medical School, Duzce University, 81620 Konuralp, Düzce, Turkey. 2Department of Chest Disease, Duzce Medical School, Duzce University, 81620 Konuralp, Düzce, Turkey. 3Department of Infectious Diseases, Duzce Medical School, Duzce University, 81620 Konuralp, Düzce, Turkey.
Email: [email protected]

  • Article Number - 17775343932
  • Vol.3(9), pp. 149-152, September 2011
  •  Accepted: 08 June 2011
  •  Published: 15 September 2011

Abstract

Lyme disease is a tick-borne spirochete infection that may affect the heart. Cardiac manifestations include conduction disturbances and other pathologies of the heart. Disturbance of atrioventricular (AV) node conduction is the most common cardiac manifestation of Lyme disease. We report a 61-year old female, who was admitted to the emergency department with the complaints of syncope, dizziness and generalized fatigue. Physical examination revealed normal findings. The patient’s electrocardiogram on admission revealed a newly diagnosed bradycardia due to AV block. The ventricular heart rate was 40/min. The patient was admitted to the coronary care unit. Lyme serology and Western blot were positive for Borrelia antibodies. This patient, acutely developed third-degree atrioventricular block that was treated with placement of a transvenous pacemaker. The symptoms and AV block resolved completely after doxycycline therapy.

 

Key words: Tick, lyme disease, lyme carditis, atrioventricular block.

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