Wenckebach responsive to cephalosporins – it must be Lyme carditis
نویسندگان
چکیده
A 37-year-old female presented to the hospital with erythema migrans and fatigue developed hypotension and variable episodes of AV block, including both Mobitz I and complete AV block. She was treated with IV antibiotics and her arrhythmia resolved within 24 hours without any further intervention.
منابع مشابه
Tricky ticks: the importance of Lyme carditis recognition
Hofhuis et al. performed a broad survey on physicianreported incidence of different Lyme disease associated manifestations [5], of which the results on Lyme carditis are presented in this issue of the Netherlands Heart Journal [6]. The authors leveraged the fact that every person in the Netherlands is registered with only one general practitioner (GP). In daily practice, a GP consultation is re...
متن کاملGeneral practitioner reported incidence of Lyme carditis in the Netherlands
BACKGROUND Between 1994 and 2009, incidence rates of general practitioner (GP) consultations for tick bites and erythema migrans, the most common early manifestation of Lyme borreliosis, have increased substantially in the Netherlands. The current article aims to estimate and validate the incidence of GP-reported Lyme carditis in the Netherlands. METHODS We sent a questionnaire to all GPs in ...
متن کاملEarly recognition and management of Lyme carditis
A 20-year-old man presented to the emergency department with 2 weeks of migratory arthralgias and several macular blanching rashes. A photograph taken by the patient upon initial eruption of the rash was presented during evaluation (Fig. 1). The lesions were suspicious for erythema migrans (Fig. 2). Upon review of systems, the patient earlier reported a brief episode of palpitations. Electrocar...
متن کاملUpdate on Lyme Carditis, Groups at High Risk, and Frequency of Associated Sudden Cardiac Death — United States
On December 13, 2013, MMWR published a report describing three cases of sudden cardiac death associated with Lyme carditis. State public health departments and CDC conducted a follow-up investigation to determine 1) whether carditis was disproportionately common among certain demographic groups of patients diagnosed with Lyme disease, 2) the frequency of death among patients diagnosed with Lyme...
متن کاملEarly-onset Lyme carditis with concurrent disseminated erythema migrans.
BACKGROUND Lyme disease is an infection that is estimated to affect over 300,000 people in the United States annually. Typically, it presents with erythema migrans (EM), an annular rash at the site of tick attachment, within 3 to 30 days of inoculation. Untreated patients may progress to early disseminated disease. A further complication, Lyme carditis is rare but may occur several weeks later....
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