Heart stopping tick  

作　　者：Paras Karmacharya Madan Raj Aryal 

机构地区：[1]Department of Medicine, Reading Health System, West Reading, PA 19611, United States

出　　处：《World Journal of Cardiology》2013年第5期148-150,共3页世界心脏病学杂志（英文版）（电子版）

摘　　要： Although Lyme carditis is relatively rare within 4-6 wk of exposure, it can uncommonly present as the first sign of disseminated Lyme disease. Here we present 17 year old boy who presented to the emergency department with chest discomfort and was later found to have complete atrioventricular block due to lyme carditis. He had uneventful recovery after empiric treatment with ceftriaxone. Our case highlights the importance of considering reversible causes of complete AV block since appropriate therapy can avoid the need for permanent pacemaker insertion.Although Lyme carditis is relatively rare within 4-6 wk of exposure, it can uncommonly present as the first sign of disseminated Lyme disease. Here we present 17 year old boy who presented to the emergency department with chest discomfort and was later found to have complete atrioventricular block due to lyme carditis. He had uneventful recovery after empiric treatment with ceftriaxone. Our case highlights the importance of considering reversible causes of complete AV block since appropriate therapy can avoid the need for permanent pacemaker insertion.

关 键 词：LYME CARDITIS HEART block Antibiotic Pacemaker Disseminated LYME BORRELIA BURGDORFERI TICK bite 

分 类 号：R541[医药卫生—心血管疾病]