Lyme carditis presenting as atrial fibrillation in a healthy young male

Metastatic cardiac tumor presenting as atrial fibrillation in a previously healthy woman

RATIONALE Metastatic cardiac tumor (MCT) is rare in clinical practice. MCT presenting initially as atrial fibrillation (AF) is even rarer. PATIENT CONCERNS We report a 47-year-old woman with no previous medical history presented with intermittent palpitation for 3 days. DIAGNOSES The electrocardiography showed AF with rapid ventricular rate. The transthoracic echocardiography showed a 4 × 4...

Zygomycosis Presenting as Acute Bilateral Renal Artery Thrombosis in a Healthy Young Male.

We present a case of acute renal artery thrombosis due to disseminated zygomycosis in a healthy young adult male.The diagnosis of renal artery occlusion was made on contrast-enhanced CT (CECT) and confirmation of etiology was made only on post mortem biopsy. We suggest that the presence of vascular thrombosis on CECT in a patient presenting with febrile illness should be regarded as an indicato...

Aortic dissection presenting as a febrile disease and atrial fibrillation.

Aortic dissection is a cardiovascular emergency. Its main manifestation is severe chest pain, and approximately 50% of patients present with an elevated systemic blood pressure. Rare reported physical findings include a pulsatile sterno-clavicular joint, dysphagia or testicular tenderness. The absence of sudden onset of pain lowers the likelihood of aortic dissection. We describe a patient in w...

Lyme carditis: a United Kingdom perspective.

Lyme Carditis in an Immunocompromised Patient

We present a case of a 68-year-old man with a history of liver transplant and of chronic immunosuppression therapy who presented to the emergency department (ED) for fevers and worsening fatigue for two days. On further investigation, the patient was found to have a new first-degree heart block on his electrocardiograph. Coupled with the history of a recent tick bite, the patient was diagnosed ...