Possible Lyme Carditis with Sick Sinus Syndrome
Borrelia burgdorferi (B. burgdorferi) is a spirochete bacterium that is transmitted via the Ixodes tick. Infection results in Lyme disease with possible cardiac manifestations, which is also known as Lyme carditis. Patients can present with bradycardia due to rapidly fluctuating atrioventricular blo...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221425092030069X |
| _version_ | 1819139869919674368 |
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| author | Brian Cheung Larry Lutwick Michelle Cheung |
| author_facet | Brian Cheung Larry Lutwick Michelle Cheung |
| author_sort | Brian Cheung |
| collection | DOAJ |
| description | Borrelia burgdorferi (B. burgdorferi) is a spirochete bacterium that is transmitted via the Ixodes tick. Infection results in Lyme disease with possible cardiac manifestations, which is also known as Lyme carditis. Patients can present with bradycardia due to rapidly fluctuating atrioventricular block (AVB), which is the hallmark of Lyme carditis. However, we present a rare case of sick sinus syndrome (SSS) without AVB in a 47-year-old man with Lyme disease. He initially presented with a headache and subsequently developed new onset bradycardia and a right cranial nerve (CN) VI palsy with diplopia. B. burgdorferi enzyme-linked immunosorbent assay (ELISA) screen and IgM western blot were positive. He was admitted to the intensive care unit. Electrocardiography (EKG) indicated a heart rate in the high 30 s beats per minute (BPM) with several pauses, but no AVB was present. The patient responded well to therapy, and was discharged with an outpatient regimen of doxycycline. Lyme carditis should be considered in patients who develop new onset bradycardia and live in endemic areas. |
| first_indexed | 2024-12-22T11:29:31Z |
| format | Article |
| id | doaj.art-86daf7c91b0047c08954da4bd063d34c |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-22T11:29:31Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-86daf7c91b0047c08954da4bd063d34c2022-12-21T18:27:39ZengElsevierIDCases2214-25092020-01-0120e00761Possible Lyme Carditis with Sick Sinus SyndromeBrian Cheung0Larry Lutwick1Michelle Cheung2Saint Bernards Healthcare, 300 Carson St., Jonesboro, AR, 72401, United States; Corresponding author.Mayo Clinic Health System, United StatesCalifornia State University, Los Angeles, United StatesBorrelia burgdorferi (B. burgdorferi) is a spirochete bacterium that is transmitted via the Ixodes tick. Infection results in Lyme disease with possible cardiac manifestations, which is also known as Lyme carditis. Patients can present with bradycardia due to rapidly fluctuating atrioventricular block (AVB), which is the hallmark of Lyme carditis. However, we present a rare case of sick sinus syndrome (SSS) without AVB in a 47-year-old man with Lyme disease. He initially presented with a headache and subsequently developed new onset bradycardia and a right cranial nerve (CN) VI palsy with diplopia. B. burgdorferi enzyme-linked immunosorbent assay (ELISA) screen and IgM western blot were positive. He was admitted to the intensive care unit. Electrocardiography (EKG) indicated a heart rate in the high 30 s beats per minute (BPM) with several pauses, but no AVB was present. The patient responded well to therapy, and was discharged with an outpatient regimen of doxycycline. Lyme carditis should be considered in patients who develop new onset bradycardia and live in endemic areas.http://www.sciencedirect.com/science/article/pii/S221425092030069XLyme DiseaseLyme CarditisBradycardiaSick Sinus Syndrome |
| spellingShingle | Brian Cheung Larry Lutwick Michelle Cheung Possible Lyme Carditis with Sick Sinus Syndrome IDCases Lyme Disease Lyme Carditis Bradycardia Sick Sinus Syndrome |
| title | Possible Lyme Carditis with Sick Sinus Syndrome |
| title_full | Possible Lyme Carditis with Sick Sinus Syndrome |
| title_fullStr | Possible Lyme Carditis with Sick Sinus Syndrome |
| title_full_unstemmed | Possible Lyme Carditis with Sick Sinus Syndrome |
| title_short | Possible Lyme Carditis with Sick Sinus Syndrome |
| title_sort | possible lyme carditis with sick sinus syndrome |
| topic | Lyme Disease Lyme Carditis Bradycardia Sick Sinus Syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S221425092030069X |
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