Author/Authors :
Kennel, Peter J. Department of Medicine Weill Cornell Medicine, New York, NY, USA , Parasram, Melvin Department of Neurology Weill Cornell Medicine, New York, NY, USA , Lu, Daniel Department of Cardiology Weill Cornell Medicine, New York, NY, USA , Zisa, Diane Department of Medicine Weill Cornell Medicine, New York, NY, USA , Chung, Samuel Department of Medicine Weill Cornell Medicine, New York, NY, USA , Freedman, Samuel Department of Medicine Weill Cornell Medicine, New York, NY, USA , Knorr, Katherine Department of Medicine Weill Cornell Medicine, New York, NY, USA , Donahoe, Timothy Department of Medicine Weill Cornell Medicine, New York, NY, USA , Markowitz, Steven M. Department of Medicine Weill Cornell Medicine, New York, NY, USA , Halazun, Hadi Department of Cardiology Weill Cornell Medicine, New York, NY, USA
Abstract :
We report a case of a 20-year-old man who presented to our institution with a new arrhythmia on a routine EKG. Serial EKG
tracings revealed various abnormal rhythms such as episodes of atrial fibrillation, profound first degree AV block, and type I
second degree AV block. He was found to have positive serologies for Borrelia burgdorferi. After initiation of antibiotic therapy,
the atrial arrhythmias and AV block resolved. Here, we present a case of Lyme carditis presenting with atrial fibrillation, a
highly unusual presentation of Lyme carditis.
