International Journal of Cardiology
Volume 137, Issue 2 , Pages 167-171, October 2009

Lyme carditis: Sequential electrocardiographic changes in response to antibiotic therapy

  • Kamran Manzoor

      Affiliations

    • Charleston Area Medical Center, Charleston, West Virginia, USA
    • ,
  • Waqas Aftab

      Affiliations

    • Community Regional Medical Center, Fresno, California, USA
    • ,
  • Sonia Choksi

      Affiliations

    • North Central Bronx Hospital, Bronx, New York, USA
    • ,
  • Ijaz A. Khan

      Affiliations

    • Good Samaritan Hospital, Baltimore, Maryland, USA
    • Corresponding Author InformationCorresponding author. Division of Cardiology, Good Samaritan Hospital, 5601 Loch Raven Boulevard, Baltimore, Maryland 21239, USA. Tel.: +1 43 44 607; fax: +1 410 532 4606.

Received 27 January 2008; accepted 3 May 2008. published online 06 August 2008.

Abstract 

Lyme disease is a tick-borne spirochetal infection that may involve heart. The cardiac manifestations of Lyme disease including varying degrees of atrioventricular heart block occur within weeks to months of the infecting tick bite. This report describes a 43 year-old man with Lyme carditis who presented with complete heart block. The heart block resolved with ceftriaxone therapy. Lyme carditis should be considered in the differential diagnosis in patients who present with new onset advanced heart block.

Keywords: Lyme carditis, Borrelia burgdorferi, Ixodes scapularis, Third degree heart block, Atrioventricular conduction block

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PII: S0167-5273(08)00739-0

doi:10.1016/j.ijcard.2008.05.028

International Journal of Cardiology
Volume 137, Issue 2 , Pages 167-171, October 2009

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