Junctional Tachycardia in a Child with Lyme Carditis (original) (raw)
Related papers
Lyme carditis: Sequential electrocardiographic changes in response to antibiotic therapy
International Journal of Cardiology, 2009
Lyme disease is a tick-borne spirochetal infection that may involve heart. The cardiac manifestations of Lyme disease including varying degrees of atrioventricular heart block occur within weeks to months of the infecting tick bite. This report describes a 43 year-old man with Lyme carditis who presented with complete heart block. The heart block resolved with ceftriaxone therapy. Lyme carditis should be considered in the differential diagnosis in patients who present with new onset advanced heart block.
Lyme carditis: complete atrioventricular dissociation with need for temporary pacing
Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē
Lyme borreliosis is a tick-borne disease. Cardiac manifestations of the disease are extremely rare. We report a case of Lyme carditis in an otherwise healthy male, who presented to the Accident & Emergency Department with chest pain, dizziness and generally symptoms indicating ischaemic heart disease. This patient, without documented history of Lyme disease, acutely developed third-degree atrioventricular block, which required placement of a transvenous pacemaker and resolved when the patient was administered doxycycline.
Complete Heart Block Due to Lyme Carditis in Two Pediatric Patients and a Review of the Literature
Congenital Heart Disease, 2007
Carditis is a common manifestation of adult patients with Lyme disease affecting 4-10% of Lyme patients in the United States. However, children with Lyme disease rarely present with acute carditis. The management of pediatric patients with complete heart block (CHB) secondary to Lyme carditis has not been well described. We report the acute management of 2 pediatric patients that presented in CHB secondary to Lyme disease.
Lyme Carditis: An Interesting Trip to Third-Degree Heart Block and Back
Case Reports in Cardiology, 2016
Carditis is an uncommon presentation of the early disseminated phase of Lyme disease. We present the case of a young female who presented with erythema migrans and was found to have first-degree heart block which progressed to complete heart block within hours. After receiving ceftriaxone, there was complete resolution of the heart block in sequential fashion. Our case illustrates the importance of early recognition and anticipation of progressive cardiac conduction abnormalities in patients presenting with Lyme disease.
Cardiac implications of Lyme disease, diagnosis and therapeutic approach
International Journal of Cardiology, 2008
Lyme is a tick-borne disease. The genetic diversity of Borreliae its distribution worldwide and its epidemiology have been related to different clinical manifestations. Carditis is a rare manifestation of Lyme disease. The commonest abnormality is atrioventricular block of various degrees, though other rhythm abnormalities have been reported. Pericarditis, myocarditis, cardiomyopathy and degenerative valvular disease have been associated with B. burgdorferi. Temporary pacing might be required in unstable patients. The majority of the conduction disturbances have a benign prognosis, if the infectious agent is identified and treated appropriately.
Conduction Riddles of Lyme Carditis: A Case Series
Carditis is one of the manifestations of the Lymes disease which can occur during the early-disseminated phase of the illness. Conduction block at the atrioventricular node level is the most common manifestation of Lyme's carditis. We report three rare cases of multilevel conduction block secondary to lymes carditis with corresponding electrophysiologic studies. The occurrence of infrahisian block in conjuction with nodal disease has rarely been reported. The exact pathophysiology behind the predominant selection of the cardiac conduction system is unclear. In order to determine the reversibility of such a conduction disease, electrophysiology study and MIBG scan were performed. Intravenous antibiotic therapy was started and resolution of conduction disease was progressively documented. In conclusion, Lyme carditis can present early on with dizziness or syncope as the sole manifestation of a diffuse conduction disease.
Cardiovascular manifestations of Lyme disease
American Heart Journal, 1991
Lyme disease is caused by the treponema-like spirochete Borrelia burgdorferi.' Since Steere et al2 described the geographic clustering of cases in Lyme, Connecticut, over a decade ago, the disease has been recognized to be worldwide in distribution3 and has become the leading tick-associated illness in North America and Europe. 4*5 Although Lyme disease is known to affect primarily the skin, heart, nervous system, and joints, the cardiac manifestations that occur in 4 % to 10 % of cases5* 6-8 remain the least well documented. The purpose of this report is to summarize the manifestations and management of cardiac involvement in Lyme disease.
Indian Heart Journal, 2014
Lyme carditis is a known cause of atrioventricular block and in most cases, atrioventricular block is reversible with appropriate antibiotic treatment. The diagnosis can be challenging if the disease is either not suspected, or if the initial cutaneous manifestation of erythema migrans is missed. It is important to diagnose Lyme carditis as the cause of complete heart block if unnecessary pacemaker implantation is to be avoided. We present a 43-year-old male who presented with complete heart block and also illsustained ventricular tachycardia due to Lyme carditis that reversed completely with antibiotic therapy.
IDCases, 2018
Lyme disease may present with a variety of cardiac manifestations ranging from first degree to third degree heart block. Cardiac involvement with Lyme disease may be asymptomatic, or symptomatic. Atrioventrical conduction abnormalities are the most common manifestation of Lyme carditis. Less common, are alternating right bundle branch block (RBBB) and left bundle branch block (LBBB). We present an interesting case of a young male whose main manifestation of Lyme carditis was isolated LBBB. He also had mild Lyme myocarditis. The patient was successfully treated with oral doxycycline, and his isolated LBBB and myocarditis rapidly resolved.