A tick beat in the electrocardiogram: Persistent third degree block as only manifestation of Lyme disease
| Autor: | Raúl Alberto Jiménez-Castillo, Raymundo Vera-Pineda, Alan Ledif Reyes-Mondragón, Edgar Francisco Carrizales-Sepúlveda, Alexis García-Sarreon, Luis Javier Marfil-Rivera, José Luis Herrera-Elizondo, Elizabeth Mercado-Domínguez |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial Heart block 030204 cardiovascular system & hematology Tick Chest pain Diagnosis Differential 03 medical and health sciences Electrocardiography Young Adult 0302 clinical medicine Lyme disease Internal medicine medicine Bradycardia Humans 030212 general & internal medicine Borrelia burgdorferi Atrioventricular Block Lyme Disease biology business.industry Lyme carditis Emergency department bacterial infections and mycoses medicine.disease biology.organism_classification Third degree block Anti-Bacterial Agents Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of electrocardiology. 52 |
| ISSN: | 1532-8430 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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