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https://open.uns.ac.rs/handle/123456789/10582
Title: | Atrio-ventricular block as the first presentation of disseminated Lyme disease | Authors: | Gordana Panić Vid Stanulović Tanja Popov |
Keywords: | Lyme disease;Carditis;Borrelia burgdorferi;Atrio-ventricular block | Issue Date: | 4-Aug-2011 | Journal: | International Journal of Cardiology | Abstract: | A 36 year old male patient presented to emergency cardiology department because of fatigability. ECG revealed high grade II atrio-ventricular block and bradycardia of 31 beats/min. An erythema increasing in size to up to 7-8 cm in diameter appeared a month earlier and spontaneously resolved within 10 days. ELISA testing for antibodies against Borrelia burgdorferi IgM was positive and IgG titer was 1:40. Intravenous ceftriaxone 2 g qod, and 0.5 g metronidazole tid lead to regression of grade II block to grade I block within 2 days. Grade I block persisted for an additional 10 days. This is a relatively rare case of early occurrence of Lyme carditis within one month of exposure as the first sign of Lyme disease dissemination. © 2010 Elsevier B.V. | URI: | https://open.uns.ac.rs/handle/123456789/10582 | ISSN: | 1675273 | DOI: | 10.1016/j.ijcard.2010.02.061 |
Appears in Collections: | MDF Publikacije/Publications |
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