Unclassified cardiomyopathy or Lyme carditis? A three year follow-up
| Autor: | Marcin Konopka, Wojciech Braksator, Mirosław Dłużniewski, Ewa Walczak, Maciej Jakuciński, Marek Kuch, Dariusz Lipowski |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Myocarditis Biopsy Cardiomyopathy Cardiomegaly Diagnosis Differential Electrocardiography Lyme disease Internal medicine Tachycardia Supraventricular medicine Humans Serologic Tests Borrelia burgdorferi Enlarged heart Lyme Disease biology medicine.diagnostic_test business.industry Myocardium Cardiac arrhythmia bacterial infections and mycoses biology.organism_classification medicine.disease Magnetic Resonance Imaging Echocardiography Electrocardiography Ambulatory cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Kardiologia Polska. 71:283-285 |
| ISSN: | 1897-4279 0022-9032 |
| DOI: | 10.5603/kp.2013.0043 |
| Popis: | Lyme carditis can be a clinical manifestation of the early disseminated stage of Lyme disease caused by the tick-transmitted pathogen Borrelia burgdorferi. We present the case of a 41 year-old Caucasian woman referred to our hospital with symptoms of fatigue, progressive exertional dyspnoea, supraventricular cardiac arrhythmia, and an enlarged heart revealed on chest radiography. Following an untypical result of transthoracic echocardiography, cardiac magnetic resonance was performed. This showed structural cardiac changes and focus of late gadolinium enhancement in the midwall of the apex region. Further diagnostic processes, including endomyocardial biopsy and serology tests, made it possible to diagnose Lyme carditis. Clinical observation was followed-up for three years. |
| Databáze: | OpenAIRE |
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