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Case Reports
. 2023 Jan-Dec:11:23247096231206332.
doi: 10.1177/23247096231206332.

An Unusual Case of Lyme Carditis With Persistent Third-Degree Heart Block

Niyati Grewal  1 , John Gharbin  1 , Prafulla Mehrotra  1
Affiliations
Case Reports

An Unusual Case of Lyme Carditis With Persistent Third-Degree Heart Block

Niyati Grewal et al. J Investig Med High Impact Case Rep. 2023 Jan-Dec.

Abstract

Lyme's carditis and neuroborreliosis are common manifestation of disseminated Lyme disease. However, third-degree atrioventricular blocks with Lyme's carditis requiring permanent pacemaker with neuroborreliosis and Lyme's disease-associated immunodeficiency are uncommon. Here we present a case of 64-year-old female presenting with neurological symptoms and electrocardiogram changes suggestive of complete heart block with no improvement in the degree of heart block with intravenous antibiotics, requiring permanent pacemaker implantation and course complicated by fungemia.

Keywords: Lyme disease with immunosuppression; Lyme disease with persistent heart block; Lyme’s carditis; disseminated Lyme disease; neuroborreliosis.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Electrocardiogram post transvenous pacer shows atrial-sensed, ventricular-paced rhythm.
See this image and copyright information in PMC

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