A tick beat in the electrocardiogram: Persistent third degree block as only manifestation of Lyme disease.

Autor: Jiménez-Castillo RA; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico. Electronic address: raulalbertojc10@gmail.com., Carrizales-Sepúlveda EF; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., Vera-Pineda R; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., Herrera-Elizondo JL; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., García-Sarreón A; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., Reyes-Mondragón AL; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., Mercado-Domínguez E; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico., Marfil-Rivera LJ; Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
Jazyk: angličtina
Zdroj: Journal of electrocardiology [J Electrocardiol] 2019 Jan - Feb; Vol. 52, pp. 109-111. Date of Electronic Publication: 2018 Dec 06.
DOI: 10.1016/j.jelectrocard.2018.12.005
Abstrakt: Lyme disease is the most common tick-borne illness in North America. A 23-year-old female presented to our emergency department with a chief complaint of sudden dyspnea and chest pain. An electrocardiogram revealed a third degree heart block. She was a resident of the Northeast region of Mexico and referred a recent travel to an endemic area for Borrelia burgdorferi in the center of Mexico in the past weeks. Lyme carditis was diagnosed after enzyme linked immunosorbent assay for IgM antibodies against B. burgdorferi was reported positive and corroborated by a confirmatory immunoblot analysis. Persistent AV block was the only manifestation in our patient, a presentation scarcely reported in literature.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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