Lyme Carditis Buried Beneath ST-Segment Elevations
Joint Authors
Umpierrez De Reguero, Adrian
Michalski, Basia
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-06-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Lyme disease is caused by the spirochete Borrelia burgdorferi and is carried to human hosts by infected ticks.
There are nearly 30,000 cases of Lyme disease reported to the CDC each year, with 3-4% of those cases reporting Lyme carditis.
The most common manifestation of Lyme carditis is partial heart block following bacterial-induced inflammation of the conducting nodes.
Here we report a 45-year-old gentleman that presented to the hospital with intense nonradiating chest pressure and tightness.
Lab studies were remarkable for elevated troponins.
EKG demonstrated normal sinus rhythm with mild ST elevations.
Three weeks prior to hospital presentation, patient had gone hunting near Madison.
One week prior to admission, he noticed an erythematous lesion on his right shoulder.
Because of his constellation of history, arthralgias, and carditis, he was started on ceftriaxone to treat probable Lyme disease.
This case illustrates the importance of thorough history taking and extensive physical examination when assessing a case of possible acute myocardial infarction.
Because Lyme carditis is reversible, recognition of this syndrome in young patients, whether in the form of AV block, myocarditis, or acute myocardial ischemia, is critical to the initiation of appropriate antibiotics in order to prevent permanent heart block, or even death.
American Psychological Association (APA)
Michalski, Basia& Umpierrez De Reguero, Adrian. 2017. Lyme Carditis Buried Beneath ST-Segment Elevations. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144248
Modern Language Association (MLA)
Michalski, Basia& Umpierrez De Reguero, Adrian. Lyme Carditis Buried Beneath ST-Segment Elevations. Case Reports in Cardiology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144248
American Medical Association (AMA)
Michalski, Basia& Umpierrez De Reguero, Adrian. Lyme Carditis Buried Beneath ST-Segment Elevations. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144248
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144248