Lyme carditis with isolated left bundle branch block and myocarditis successfully treated with oral doxycycline.

Autor: Cunha BA; Infectious Disease Division Winthrop-University Hospital Mineola, New York, United States.; State University of New York School of Medicine, Stony Brook, New York, United States., Elyasi M; Infectious Disease Division Winthrop-University Hospital Mineola, New York, United States.; State University of New York School of Medicine, Stony Brook, New York, United States., Singh P; Infectious Disease Division Winthrop-University Hospital Mineola, New York, United States.; State University of New York School of Medicine, Stony Brook, New York, United States., Jimada I; Infectious Disease Division Winthrop-University Hospital Mineola, New York, United States.; State University of New York School of Medicine, Stony Brook, New York, United States.
Jazyk: angličtina
Zdroj: IDCases [IDCases] 2017 Dec 16; Vol. 11, pp. 48-50. Date of Electronic Publication: 2017 Dec 16 (Print Publication: 2018).
DOI: 10.1016/j.idcr.2017.12.006
Abstrakt: 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.
Databáze: MEDLINE