Author/Authors :
Eyram Afari, Maxwell Department of Medicine - Memorial Hospital of Rhode Island - Alpert Medical School - Brown University, USA , Marmoush, Fady Department of Medicine - Memorial Hospital of Rhode Island - Alpert Medical School - Brown University, USA , Ur Rehman, Mobeen Department of Medicine - Memorial Hospital of Rhode Island - Alpert Medical School - Brown University, USA , Gorsi, Umama Department of Medicine - Memorial Hospital of Rhode Island - Alpert Medical School - Brown University, USA , Yammine, Joseph F. Department of Medicine - Memorial Hospital of Rhode Island - Alpert Medical School - Brown University, USA
Abstract :
Carditis is an uncommon presentation of the early disseminated phase of Lyme disease. We present the case of a young female who
presented with erythema migrans and was found to have first-degree heart block which progressed to complete heart block within
hours. After receiving ceftriaxone, there was complete resolution of the heart block in sequential fashion. Our case illustrates the
importance of early recognition and anticipation of progressive cardiac conduction abnormalities in patients presenting with Lyme
disease.
Keywords :
Lyme Carditis , Third-Degree Heart , Block , Back