#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Lyme carditis – rare cause of dilated cardiomyopathy and rhythm disturbances


Authors: J. Čepelová 1,2
Authors‘ workplace: Interní klinika 1. lékařské fakulty UK a ÚVN Praha, přednosta doc. MUDr. Miroslav Zavoral, Ph. D. 1;  II. interní klinika 1. lékařské fakulty UK a VFN Praha, přednosta prof. MUDr. Aleš Linhart, DrSc. 2
Published in: Vnitř Lék 2008; 54(4): 430-433
Category: Case Report

Overview

Case report of young woman presents involvement of dilated cardiomyopathy and rhythm disturbances in 18 months after infection of tick, with direct assessment of spirochetes in myocardial tissue. Cardial decompensation occured after asthma exacerbation, complicated by bronchopneumonia. Rhythm disturbances and heart failure gradually subside after parenteral antibiotic treatment and peroral treatment of heart failure. Nevertheless there is a long-lasting persistence of dilated cardiomyopathy with significant systolic dysfunction, which is supposedly last consequence of Borrelia infection. Resynchronic therapy combinated with cardioverter-defibrilator primary considering was postponed for improvement clinical condition and myocardial electric stability. There is demonstrating complicated serologic diagnostics of Lyme disease in discussion. Lyme carditis would be part of differential diagnosis in rhythm disturbances and cardiomyopathy of unknown etiology, including serious or fatal events.

Key words:
lyme borreliosis – lyme carditis – arrhythmia – atrioventricular blockade – dilated cardiomyopathy


Sources

1. Artiago R, Torres G, Guerrero A et al. Irreversible complete heart block in Lyme disease. Am J Med 1991; 90: 531–533.

2. Bartůněk P, Goričan K, Hulínská D. Borreliová infekce jako příčina dilatační kardiomyopatie. Vnitř Lék 2004; 50(Suppl 1): 123.

3. Bartůněk P et al. Lymeská borelióza. Praha: Grada Publishing 2006: 21–118.

4. Berglund J, Eitrem R, Ornstein K et al. An epidemologic study of Lyme disease in Southern Sweeden. N Engl J Med 1995; 333: 1319–1327.

5. Gasser R, Horn S, Reisinger E et al. First description of recurrent pericardial effusion associated with Borrelia burgdorferi infection. J Cardiol 1998; 64: 309–310.

6. Honegr K, Dostál V. Klinické projevy a léčba lymeské boreliózy. Klin Mikrobiol Inf Lék 2004; 10: 5–10.

7. Janovská D. Epidemiologie Borrelia burgdorferi. In: Bartůněk P et al. Lymeská borrelióza. Praha: Grada Publishing 1996: 12–16.

8. Klein J, Stanek G, Bittner R et al. Lyme borreliosis as a cause of myocarditis and heart muscle disease. Eur Heart J 1991; 12(Suppl D): 73–75.

9. van der Linde MR. Lyme carditis: cardiac characteristics of 105 cases. Scand J Infect Dis 1991; 77(Suppl): 81–84.

10. Midttun M, Lebech AM, Hansen K et al. Lyme carditis: A clinical presentation and long time follow-up. Scand J Infect Dis 1997; 29: 153–157.

11. Rubin DA, Sorbety C, Nikitin P et al. Prospective evaluation of heart block complicating early Lyme disease. Pacing Clin Electrophysiol 1992; 15: 252–255.

12. Sangha O, Philips CB, Fleischmann KE et al. Lack of cardial manifestations among patients with previously treated Lyme disease. Ann Intern Med 1998; 128: 346–353.

13. Švand J, Rosenfeld L, Schoen RT. Lyme carditis. In: Axford JS, Rees DHE (eds). Lyme borreliosis. New York: Plenum Press 1994: 21.

14. Vlay SC, Dervan JP, Elias J et al. Ventricular tachycardia associated with Lyme carditis. Am Heart J 1991; 121: 1558–1560.

15. Wetherill PE, Schoen RT. Clinical manifestation of Lyme Disease. Mediguide to Infectious Disease. New York: N.Y.: Lawrence DellaCorte Publications Inc 1995; 15: 1–5.

Labels
Diabetology Endocrinology Internal medicine
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#