A curious case of Lyme carditis in an urban hospital
| Autor: | Damian Kurian, Vel Sivapalan, Farbod Raiszadeh, Khaing T. Myint, Yanira Lopez, Shantel Brissett |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Pediatrics medicine.medical_specialty Coronavirus disease 2019 (COVID-19) 030106 microbiology Cardiology Case Report Infectious and parasitic diseases RC109-216 High-grade AV block 03 medical and health sciences 0302 clinical medicine Transvenous pacemaker medicine 030212 general & internal medicine LD Lyme disease Doxycycline Presyncope business.industry Lyme carditis AV atrioventricular LC Lyme carditis MS millisecond Early Disseminated Lyme Disease medicine.disease Rash Ceftriaxone Infectious diseases ECG electrocardiogram medicine.symptom business IV intravenous medicine.drug Urban hospital |
| Zdroj: | IDCases, Vol 25, Iss, Pp e01179-(2021) IDCases |
| ISSN: | 2214-2509 |
| Popis: | Lyme carditis (LC), a manifestation of early disseminated Lyme disease, most commonly presents with cardiac conduction abnormalities. It is a transient condition with good prognosis but in extremely rare cases may be life-threatening. We describe a 42-year-old man who presented with progressively worsening generalized weakness, presyncope and dyspnea on exertion for 2 weeks after sustaining a tick bite. He subsequently developed a ‘bull’s eye rash’ on his flank 2 days before his presentation. He was found to have symptomatic third-degree AV conduction blockade with a ventricular escape rhythm resulting in a brief cardiac arrest. Intravenous (IV) ceftriaxone was commenced empirically and a temporary transvenous pacemaker was placed. In a few days he showed dramatic, rapid improvement; the pacemaker was removed, and the patient was discharged on oral doxycycline to complete a 24-day course. This case is unique due to its occurrence in an urban hospital where such cases are uncommon. Cardiac arrest, although brief in this case, is a rare occurrence. Lyme carditis was a surprise diagnosis in our hospital due to the patient’s geographical dislocation during the COVID-19 pandemic. |
| Databáze: | OpenAIRE |
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