A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline

A 39-year-old male without significant past medical history presented with three weeks of worsening fatigue, migratory arthralgia, rash, and unilateral facial weakness after spending three months in Vermont. Serology showed positive Lyme titers 1:64 for both IgM and IgG. EKG on presentation showed a...

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Detalles Bibliográficos
Autores principales: Del Valle, Ian, Hoang, Victor, Wood, Stuart T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166513/
https://www.ncbi.nlm.nih.gov/pubmed/35676996
http://dx.doi.org/10.7759/cureus.24729
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author Del Valle, Ian
Hoang, Victor
Wood, Stuart T
author_facet Del Valle, Ian
Hoang, Victor
Wood, Stuart T
author_sort Del Valle, Ian
collection PubMed
description A 39-year-old male without significant past medical history presented with three weeks of worsening fatigue, migratory arthralgia, rash, and unilateral facial weakness after spending three months in Vermont. Serology showed positive Lyme titers 1:64 for both IgM and IgG. EKG on presentation showed a P-R interval of 384 ms, and the patient was admitted for concern of Lyme carditis. Serial EKGs obtained throughout his stay demonstrated variability between first- and second-degree heart blocks. After consultation with Infectious Disease, he was transitioned to oral doxycycline to complete a 21-day course. The patient’s heart block and other symptoms had resolved on follow-up after the treatment course had been completed.
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spelling pubmed-91665132022-06-07 A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline Del Valle, Ian Hoang, Victor Wood, Stuart T Cureus Cardiology A 39-year-old male without significant past medical history presented with three weeks of worsening fatigue, migratory arthralgia, rash, and unilateral facial weakness after spending three months in Vermont. Serology showed positive Lyme titers 1:64 for both IgM and IgG. EKG on presentation showed a P-R interval of 384 ms, and the patient was admitted for concern of Lyme carditis. Serial EKGs obtained throughout his stay demonstrated variability between first- and second-degree heart blocks. After consultation with Infectious Disease, he was transitioned to oral doxycycline to complete a 21-day course. The patient’s heart block and other symptoms had resolved on follow-up after the treatment course had been completed. Cureus 2022-05-04 /pmc/articles/PMC9166513/ /pubmed/35676996 http://dx.doi.org/10.7759/cureus.24729 Text en Copyright © 2022, Del Valle et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Del Valle, Ian
Hoang, Victor
Wood, Stuart T
A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title_full A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title_fullStr A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title_full_unstemmed A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title_short A Case of Lyme Carditis With Variable Heart Block Successfully Treated With Oral Doxycycline
title_sort case of lyme carditis with variable heart block successfully treated with oral doxycycline
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166513/
https://www.ncbi.nlm.nih.gov/pubmed/35676996
http://dx.doi.org/10.7759/cureus.24729
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