A Rare Presentation of Lyme Disease in an Immunocompromised Patient.
| Autor: | Basile EJ; Internal Medicine, University of Florida College of Medicine, Gainesville, USA., Smoot M; Internal Medicine, University of Florida College of Medicine, Gainesville, USA., Hanna ME; Internal Medicine, University of Florida College of Medicine, Gainesville, USA., Ijaz Z; Internal Medicine, University of Florida College of Medicine, Gainesville, USA., Keeley EC; Cardiovascular Medicine, University of Florida Health, Gainesville, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 19; Vol. 16 (4), pp. e58605. Date of Electronic Publication: 2024 Apr 19 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58605 |
| Abstrakt: | Lyme disease is a progressive infectious disease caused by the Borrelia species that affects multiple organ systems, including the brain, heart, skin, and musculoskeletal systems. The cardiac manifestations of Lyme disease typically present with atrioventricular nodal conduction abnormalities and, more rarely, myocarditis. We report a case of an immunocompromised 57-year-old woman who presented with acute onset shortness of breath, hypervolemia, injective conjunctiva, and global vision loss of the left eye in the setting of a recent tick bite. Serologic testing confirmed borreliosis, and cardiac testing demonstrated acute isolated systolic heart failure without any cardiac conduction system abnormalities on the electrocardiogram. The diagnosis of Lyme carditis was made, and the patient was started on doxycycline with complete recovery of cardiac systolic function. This case demonstrates atypical cardiac manifestations of Lyme disease and highlights the difficulty in workup and understanding of Lyme carditis particularly in immunocompromised patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Basile et al.) |
| Databáze: | MEDLINE |
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