Lyme carditis with complete heart block: management with an external pacemaker
نویسندگان
چکیده
Timely diagnosis and prompt initiation of treatment is essential in Lyme carditis to achieve favorable prognosis. Externalized permanent pacemaker with an active fixation lead as supportive pacing modality is a feasible option till complete resolution of conduction block with continued antibiotic therapy.
منابع مشابه
Early-onset Lyme carditis with concurrent disseminated erythema migrans.
BACKGROUND Lyme disease is an infection that is estimated to affect over 300,000 people in the United States annually. Typically, it presents with erythema migrans (EM), an annular rash at the site of tick attachment, within 3 to 30 days of inoculation. Untreated patients may progress to early disseminated disease. A further complication, Lyme carditis is rare but may occur several weeks later....
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OBJECTIVES We sought to identify predictive factors for Lyme carditis in children and to characterize the clinical course of these patients. METHODS We reviewed all cases of early disseminated Lyme disease presenting to our institution from January 1994 through July 2008, and summarized the presentation and course of those patients with carditis. A case-control study was used to identify pred...
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