These remarks are prompted by a survey of four recent autopsies and sixty-five cases seen during the past few years. For my pathological notes I am indebted to Dr. Michell Clarke, Dr. Cecil Williams, and Dr. T. E. Holmes. Of the clinical cases twentyfour are my own out-patients, and the remainder in-patients at St. Mary's Hospital and at the Children's Hospital, Bristol, the notes of which I am...

Abstract Background Lyme carditis (LC), an early disseminated manifestation of disease, has important clinical implications for patients. High-degree atrioventricular block is the most common presentation LC, and usually resolves with antibiotic therapy. Clinical case A 31 years-old man without remote pathological history cardiovascular risk factors presents resting dyspnea. In EKG, findings pa...

Lyme disease may present with a variety of cardiac manifestations ranging from first degree to third degree heart block. Cardiac involvement with Lyme disease may be asymptomatic, or symptomatic. Atrioventrical conduction abnormalities are the most common manifestation of Lyme carditis. Less common, are alternating right bundle branch block (RBBB) and left bundle branch block (LBBB). We present...

Vasiations in serum concentration of the enzyme, glutamic oxalacetic transaminase, in 64 patients with rheumatic fever w'ere studied. Elevations were noted in 17 of 26 patients with carditis of definite or questionable activity and transiently in one rheumatic subject with viral myocarditis. Except for one patient with polyarthritis and equivocal evidence of acute cardiac involvement, serum con...

1. Type incidence Of the 76 admissions for acute rheumatic infection (see table I) in King George's Hospital, the admission rate for 1,000 medical admissions works out at 6. Of these admissions 32 or 42 per cent were for acute rheumatic fever (polysynovitis), 39 or 52 per cent were for acute carditis, and 6 per cent were for chorea. A few examples of rheumatic nodules were observed amongst the ...

Background Carditis and rheumatic chronic heart disease are the most serious complications of Acute Rheumatic Fever. Nowadays prevention of recurrent episodes of group A b-hemolytic streptococcal pharyngitis is the most effective method to prevent the development of severe rheumatic heart disease. However the evidence of these guidelines are weak and result from studies conducted more than 50 y...