[Second-degree atrioventricular block caused by Lyme disease]. / Tweedegraads atrioventriculair blok door lymeziekte.
Ned Tijdschr Geneeskd
; 1642020 01 24.
Article
em Nl
| MEDLINE
| ID: mdl-32186826
ABSTRACT
BACKGROUND:
Tick-borne diseases, including Lyme disease, are becoming increasingly common in Europe. Lyme disease has a wide variety of clinical manifestations, as a result of which physicians of diverse disciplines are coming into contact with such patients. CASE DESCRIPTION A 58-year-old man was seen at the emergency room with a symptomatic Wenckebach-type second-degree atrioventricular (AV) block and periods of 21 AV block. Four weeks previously the patient had noticed a red skin lesion on his left lower leg. Under the working diagnosis of early disseminated Lyme disease with cardiac involvement, treatment with ceftriaxone was started. This diagnosis was supported by a positive Borrelia PCR and culture of a skin biopsy and positive Borreliaserology. The AV conduction disorders resolved completely after 2 weeks of treatment with antibiotics and it was not necessary to implant a pacemaker.CONCLUSION:
A Borrelia infection is a reversible but rare cause of AV conduction disorders. In the event of sudden onset of symptoms or a severe or progressive AV conduction disorder, Lyme carditis should be considered, especially if the medical history or physical examination provides clues for Lyme disease.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Lyme
/
Borrelia burgdorferi
/
Bloqueio Atrioventricular
Limite:
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
Nl
Ano de publicação:
2020
Tipo de documento:
Article